Kimberly B Pengel, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

38251 Issued in CO

Practice address

10107 Ridgegate Pkwy Ste 310
Lone Tree, CO 80124-5642

Phone

(720) 861-0840

Fax

(303) 861-4741

NPI assigned

Oct 9, 2006

Last updated

Jan 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.pengel@hca3.eclinicaldirectplus.com

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.

• Healthone Clinic Services - Pediatric Specialties LLC

  • Pediatrics Physician
  • Denver, CO
  • NPI 1720293251

  Orthopaedic Surgery

  NPD
• Healthone Clinic Services-Surgical Specialties LLC

  • Surgery Physician
  • Denver, CO
  • NPI 1639376585
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1871680926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10107 RIDGEGATE PKWY STE 310",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245642",
            "telephone_number": "303-861-2663",
            "fax_number": "303-861-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10107 RIDGEGATE PKWY STE 310",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245642",
            "telephone_number": "720-861-0840",
            "fax_number": "303-861-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENGEL",
        "first_name": "KIMBERLY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "38251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70680892",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871680926",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871680926",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KIMBERLY.PENGEL@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "10107 Ridgegate Pkwy Ste 310",
            "city": "Lone Tree",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801245642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pediatrix Primary Care of Colorado, PLLC
• Pediatrix Urgent Care of Colorado, PLLC
• Mary Katherine Peiffer, NP
• Melissa Pelkey, MD
• Ricardo L Pena, MD
• Stephanie L Penrose, M.D.
• Michael Scott Peppler, DMD
• Mark A Perea, MD
• Perfect Teeth - Highlands Ranch P.C.
• Personal Anesthesia PC

• Orthopaedic Surgery Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Orthopaedic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.