Active NPI
Kenneth Gerald Oleszek, MD
- Internal Medicine Physician
- Denver, CO
National Provider Identifier
1902878291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 32815
- Practice address
- 2774 E 2ND Ave
Denver, CO 80206-4808 - Phone
- (303) 355-4772
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 32815 | CO | Primary |
| Phlebology Physician | 202K00000X | 32815 | CO |
Addresses
Primary practice location
2774 E 2ND Ave
Denver, CO 80206-4808
Mailing address
2774 E 2ND Ave
Denver, CO 80206-4808
Phone (303) 355-4772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32815 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinidad Area Health Association | Internal Medicine | Past | Accepting new patients |
| Quantum Plus LLC | Past | 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 and National Provider Directory roles.
-
dba Mt. San Rafael Hospital Clinic
- Family Medicine Physician
- Trinidad, CO
- NPI 1467400309
Internal Medicine
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1235188962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1902878291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2774 E 2ND AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802064808",
"telephone_number": "303-355-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2774 E 2ND AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802064808",
"telephone_number": "303-355-4772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLESZEK",
"first_name": "KENNETH",
"middle_name": "GERALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "32815",
"primary": true
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "CO",
"license": "32815",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.