Individual provider Active NPI

Krzysztof Jan Wikiel, M.D.

  • Surgery Physician
  • Denver, CO
National Provider Identifier
1831395433
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0052143 Issued in CO
Practice address
4500 E 9TH Ave
Denver, CO 80220-3911
Phone
(303) 320-7826
Fax
(303) 320-7842
NPI assigned
Jun 21, 2007
Last updated
Oct 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X TRAINING CERTIFICATE OH
Surgery Physician 208600000X DR.0052143 CO Primary
Surgery Physician 208600000X MD442931 PA

Addresses

Primary practice location

4500 E 9TH Ave
Denver, CO 80220-3911

Mailing address

4500 E 9TH Ave
Denver, CO 80220-3911
Phone (303) 320-7826

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
I20131223001230 CO Practitioner - General Surgery 9739358573 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRAINING CERTIFICATEOHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Cancer Centers, LLP PastSince Dec 6, 2013 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1831395433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203911",
            "telephone_number": "303-320-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203911",
            "telephone_number": "303-320-7826",
            "fax_number": "303-320-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKIEL",
        "first_name": "KRZYSZTOF",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "TRAINING CERTIFICATE",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0052143",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD442931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.