Individual provider Active NPI

Kirk Vance Mitchell Jr., M.D.

  • Surgery Physician
  • Golden, CO
National Provider Identifier
1811242605
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0058885 Issued in CO
Practice address
400 Indiana St Ste 400
Golden, CO 80401-5027
Phone
(303) 940-8200
Fax
(303) 940-8400
NPI assigned
Jul 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DR.0058885 CO Primary

Addresses

Primary practice location

400 Indiana St Ste 400
Golden, CO 80401-5027

Mailing address

400 Indiana St Ste 400
Golden, CO 80401-5027
Phone (303) 940-8200

Other practice location 1

1960 Ogden St
Suite 400
Denver, CO 80218-3666
Phone (303) 318-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171115000592 CO Practitioner - General Surgery 4688897283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Colorado School of Medicine, Denver, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Trauma Services PCGroup PAC ID 6800895947, 9 clinicians
Colorado Surgical Service PCGroup PAC ID 7416844311, 15 clinicians

Practice addresses (Care Compare)

400 Indiana St
Suite 200
Golden, CO 80401-5027
Phone (303) 467-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.22 of 100Reported as group
Quality
80.56
Improvement activities
40
Cost
93.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Trauma Services PC Surgery CurrentSince Sep 27, 2017 Accepting new patients
Colorado Surgical Service PC Surgery CurrentSince Sep 27, 2017 Accepting new patients
Colorado Trauma Services PC CurrentSince Sep 27, 2017 Accepting new patients
Colorado Surgical Service PC Surgery CurrentSince Sep 27, 2017 Accepting new patients
Colorado Surgical Service PC Surgery Past Accepting new patients
Intermountain Front Range, Inc. Past Accepting new patients

Locations

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

400 Indiana St
Ste 200
Golden, CO 80401
Phone (303) 467-1400

200 W County Line Rd
Ste 135
Highlands Ranch, CO 80129
Phone (303) 940-8200

500 W 144th Ave
Ste 130
Westminster, CO 80023
Phone (303) 426-2130

3455 Lutheran Pkwy
Ste 290
Wheat Ridge, CO 80033
Phone (303) 467-1400

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

4350 Wadsworth Blvd
Ste 401
Wheat Ridge, CO 80033
Phone (720) 996-0780

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811242605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST STE 400",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015027",
            "telephone_number": "303-940-8200",
            "fax_number": "303-940-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST STE 400",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015027",
            "telephone_number": "303-940-8200",
            "fax_number": "303-940-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 Ogden St",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802183666",
            "country_code": "US",
            "telephone_number": "303-318-1540",
            "fax_number": "303-318-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KIRK",
        "middle_name": "VANCE",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0058885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.