NPIMap

Individual provider Active NPI

Michael Kidon, DO

  • Emergency Medicine Physician
  • Denver, CO
National Provider Identifier
1841797610
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO3111 Issued in NV
Practice address
777 Bannock St # Mc0108
Denver, CO 80204-4507
Phone
(303) 602-5183
NPI assigned
Apr 9, 2018
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X DR.0066283 CO
Emergency Medicine Physician 207P00000X DO3111 NV Primary

Addresses

Primary practice location

777 Bannock St # Mc0108
Denver, CO 80204-4507

Mailing address

777 Bannock St # Mc0108
Denver, CO 80204-4507
Phone (303) 602-5183

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220614003163 NV Practitioner - Emergency Medicine 8325444110 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winnemucca Emergency Physicians LLCGroup PAC ID 2860434503, 16 clinicians

Practice addresses (Care Compare)

118 E Haskell St
Winnemucca, NV 89445-3247
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0066283COMDEmergency Medicine Physician
DO3111NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Emergency Physicians PLLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Crum,Stefanko and Jones LTD Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine Current Accepting new patients
Nevada Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
Winnemucca Emergency Physicians LLC Emergency Medicine CurrentSince Oct 20, 2025 Accepting new patients
Nevada Emergency Physicians PLLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients

Locations

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1841797610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST # MC0108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-602-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST # MC0108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-602-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDON",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0066283",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO3111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.