NPIMap

Individual provider Active NPI

Kari Ahnfeldt, D.O.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1861604779
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M6005 Issued in TX
Practice address
10780 Pebble Hills Blvd Ste G1
El Paso, TX 79935-2039
Phone
(915) 773-0606
Fax
(915) 591-0726
NPI assigned
May 4, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M6005 TX Primary

Addresses

Primary practice location

10780 Pebble Hills Blvd Ste G1
El Paso, TX 79935-2039

Mailing address

8061 Alameda Ave
El Paso, TX 79915-4705
Phone (915) 859-7545

Other practice location 1

13017 Perico Road
San Elizario, TX 78949
Phone (915) 851-0999

Other practice location 2

13017 Perico Road
San Elizario, TX 78949
Phone (915) 851-0999

Other identifiers 4

IdentifierTypeStateIssuer
130880104MedicaidTX
130880105MedicaidTX
1780761452OtherTXCENTRO SAN VICENTE-SAN ELI NPI
1831267079OtherTXCENTRO SAN VICENTE GROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240522000943 CO Practitioner - Family Practice 4789946401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 E Boulder
Colorado Springs, CO 80909-5533
Phone (719) 776-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6005TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vista Community Health Centers CurrentSince Jun 1, 2024 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jun 1, 2024 Accepting new patients
Peak Vista Community Health Centers Past Accepting new patients
Centro San Vicente Past Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

350 Lyckman Pl
Fountain, CO 80817
Phone (719) 491-5900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGDIBD
  • Direct secure messaging: kari.ahnfeldt.p1@direct.peakvista.nextgenshare.com

Organizations & group practices 4

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1861604779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799154705",
            "telephone_number": "915-859-7545",
            "fax_number": "915-859-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 PEBBLE HILLS BLVD STE G1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799352039",
            "telephone_number": "915-773-0606",
            "fax_number": "915-591-0726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13017 Perico Road",
            "address_purpose": "LOCATION",
            "city": "San Elizario",
            "state": "TX",
            "postal_code": "78949",
            "country_code": "US",
            "telephone_number": "915-851-0999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13017 Perico Road",
            "address_purpose": "LOCATION",
            "city": "San Elizario",
            "state": "TX",
            "postal_code": "78949",
            "country_code": "US",
            "telephone_number": "915-851-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHNFELDT",
        "first_name": "KARI",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M6005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130880104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130880105",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTRO   SAN VICENTE-SAN ELI NPI",
            "identifier": "1780761452",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTRO SAN VICENTE GROUP NPI",
            "identifier": "1831267079",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.