Individual provider Active NPI

Jason Krutsch, MD

  • Interventional Pain Medicine Physician
  • Lakewood, CO
National Provider Identifier
1902999352
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
DR.0041537 Issued in CO
Practice address
12596 W Bayaud Ave Ste 350
Lakewood, CO 80228-2019
Phone
(303) 468-7246
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 41537 CO
Interventional Pain Medicine Physician 208VP0014X DR.0041537 CO Primary

Addresses

Primary practice location

12596 W Bayaud Ave Ste 350
Lakewood, CO 80228-2019

Mailing address

755 Heritage Rd
#100
Golden, CO 80401-3600
Phone (303) 277-0700

Other practice location 1

755 Heritage Rd
#100
Golden, CO 80401-3600
Phone (303) 277-0700

Other identifiers 1

IdentifierTypeStateIssuer
65601238MedicaidCO

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
I20040408000895 CO Practitioner - AnesthesiologyPractitioner - Pain Management 5294729794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Colorado School of Medicine, Denver, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Pain Practice PLLCGroup PAC ID 6709161292, 15 clinicians

Practice addresses (Care Compare)

12596 W Bayaud Ave
Suite 350
Lakewood, CO 80228-2019
Phone (303) 468-7246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41537COMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Pain Practice, PLLC Pain Medicine CurrentSince Feb 15, 2017 Accepting new patients
Colorado Pain Practice, PLLC Pain Medicine CurrentSince Jul 1, 2016 Accepting new patients
Colorado Pain Practice, PLLC Pain Medicine Past Accepting new patients
Colorado Pain Practice, LLC Pain Medicine Past Accepting new patients
Colorado Pain Care, LLC Pain Medicine Past Accepting new patients

Locations

2696 S Colorado Blvd
Ste 240
Denver, CO 80222
Phone (210) 213-4444

755 Heritage Rd
Ste 100
Golden, CO 80401
Phone (303) 277-0700

12596 W Bayaud Ave
Ste 350
Lakewood, CO 80228
Phone (303) 468-7246

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1902999352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 HERITAGE RD",
            "address_2": "#100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013600",
            "telephone_number": "303-277-0700",
            "fax_number": "303-277-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12596 W BAYAUD AVE STE 350",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282019",
            "telephone_number": "303-468-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 Heritage Rd",
            "address_2": "#100",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804013600",
            "country_code": "US",
            "telephone_number": "303-277-0700",
            "fax_number": "303-277-0714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUTSCH",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "41537",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CO",
            "license": "DR.0041537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65601238",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.