Individual provider Active NPI

Kristen M. Eisenman, M.D.

  • Pediatric Hematology & Oncology Physician
  • Denver, CO
National Provider Identifier
1912920166
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
DR-48429 Issued in CO
Practice address
8289 E Lowry Blvd
Denver, CO 80230-7256
Phone
(303) 398-6222
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X DR-48429 CO Primary

Addresses

Primary practice location

8289 E Lowry Blvd
Denver, CO 80230-7256

Mailing address

8289 E Lowry Blvd
Denver, CO 80230-7256
Phone (303) 321-2828

Other identifiers 1

IdentifierTypeStateIssuer
76476375MedicaidCO

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
I20110922000316 CO Practitioner - Hospice/Palliative CarePractitioner - Hematology/OncologyPractitioner - HematologyPractitioner - Pediatric Medicine 7618975244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Hematology/Oncology, Pediatric Medicine
Education
University of Nebraska College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR-48429COMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince Aug 1, 2022 Accepting new patients
Children'S Hospital Colorado Current Accepting new patients

Locations

13123 E 16th Ave
#B115
Aurora, CO 80045
Phone (720) 777-6740

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

Interoperability endpoints

  • Direct secure messaging: keisenman10040@direct.childrenscolorado.org

Organizations & group practices 3

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1912920166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8289 E LOWRY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307256",
            "telephone_number": "303-321-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8289 E LOWRY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307256",
            "telephone_number": "303-398-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENMAN",
        "first_name": "KRISTEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CO",
            "license": "DR-48429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76476375",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.