NPIMap

Individual provider Active NPI

Kirby Jay Duvall, M.D.

  • Family Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1922170257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25382 Issued in CO
Practice address
1000 E Drake Rd
Fort Collins, CO 80525-1824
Phone
(970) 498-3104
Fax
(970) 498-3042
NPI assigned
Nov 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 25382 CO Primary

Addresses

Primary practice location

1000 E Drake Rd
Fort Collins, CO 80525-1824

Mailing address

1000 E Drake Rd
Fort Collins, CO 80525-1824
Phone (970) 498-3104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150512001160 CO Practitioner - Family Practice 9335468479 Reassigns benefits to 4 organizations
I20191226001665 WY Practitioner - Family Practice 9335468479

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Post-Acute Medical Services 1 PCGroup PAC ID 1153698634, 9 clinicians
Co Pacs 2 PCGroup PAC ID 4880943596, 8 clinicians

Practice addresses (Care Compare)

122 Hospital Rd
Brush, CO 80723-1702
Phone (970) 842-2861

150 Spring St
Morrison, CO 80465-2532
Phone (303) 697-8181

1500 W Mineral Ave
Life Care Ctr Littleton Den
Littleton, CO 80120-5608
Phone (303) 795-7300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25382COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Marriott Medical Corp CurrentSince Oct 1, 2019 Accepting new patients
Co Pacs 2 PC CurrentSince Jul 5, 2023 Accepting new patients
Colorado Post-Acute Medical Services 1 PC CurrentSince Jul 5, 2023 Accepting new patients
CS Pacs 3 Northwest, LLC CurrentSince Sep 9, 2024 Accepting new patients
Eben Ezer Lutheran Care Center Past Accepting new patients

Locations

222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245

222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762

104 Lois Ln
Colorado Springs, CO 80904
Phone (303) 289-1848

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

1500 W Mineral Ave
Littleton, CO 80120
Phone (303) 450-2700

150 Spring St
Morrison, CO 80465
Phone (303) 697-8181

2700 E 12th St
Cheyenne, WY 82001
Phone (307) 222-2050

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922170257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E DRAKE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251824",
            "telephone_number": "970-498-3104",
            "fax_number": "970-498-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E DRAKE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251824",
            "telephone_number": "970-498-3104",
            "fax_number": "970-498-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "KIRBY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "25382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.