Ken Kreidl, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

42396 Issued in CO

Practice address

2750 Broadway St
Boulder, CO 80304-3573

Phone

(303) 440-3000

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Ophthalmology

Education

Stanford University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boulder Medical Center, PCGroup PAC ID 4183536204, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Avista Hospital, Louisville, CO, CCN 060103

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Boulder Medical Center, P.C.

  • Multi-Specialty Clinic/Center
  • Boulder, CO
  • NPI 1306820923
  Medicare reassignment Care Compare group NPD
• Boulder Medical Center, P.C.

  • Urgent Care Clinic/Center
  • Boulder, CO
  • NPI 1114886587
  NPD

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

• Portercare Adventist Health System

  • General Acute Care Hospital
  • Westminster, CO
  • NPI 1003456534
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Westminster, CO
  • NPI 1184264798
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Castle Rock, CO
  • NPI 1215824180
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Westminster, CO
  • NPI 1275380610
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Littleton, CO
  • NPI 1528608056
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Parker, CO
  • NPI 1760022297
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1821638354
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Louisville, CO
  • NPI 1891709192
  Care Compare affiliation
• Portercare Adventist Health System

  • Ambulatory Surgical Clinic/Center
  • Boulder, CO
  • NPI 1962042499

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942284500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043573",
            "telephone_number": "303-440-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043573",
            "telephone_number": "303-440-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIDL",
        "first_name": "KEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "42396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Kramer, PT, DPT
• William C. Kramer, M.D.
• Charlotte W Krasnoff, LCSW
• Ellie Kraus
• Christopher E Kreider, PA-C
• Ming-Yi Ryn W Kreidl, MD
• Stefanie L Krenz, MD
• Bonnie S Krim, RN
• Katherine Shaw Kripke, LCSW
• Kristin Brousseau, DO, PC

• Ophthalmology Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.