Derek Joseph Konopka, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

24704 Issued in CO

Practice address

7444 W Alaska Dr
Ste 250
Lakewood, CO 80226-3327

Phone

(303) 592-7284

Fax

(303) 892-0601

NPI assigned

Oct 5, 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

Other identifiers 1

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

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.

• Apex Pathology P.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lakewood, CO
  • NPI 1841682879
  Medicare reassignment NPD
• Apex Pathology P.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Morgan, CO
  • NPI 1275231987
  NPD

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1962499863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 W ALASKA DR",
            "address_2": "STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263327",
            "telephone_number": "303-592-7284",
            "fax_number": "303-892-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7444 W ALASKA DR",
            "address_2": "STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263327",
            "telephone_number": "303-592-7284",
            "fax_number": "303-892-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOPKA",
        "first_name": "DEREK",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "24704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1247048",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Patricia Kolendowicz
• Lauren Leigh Kolfenbach, PA-C
• Jennie Kologe, LPCC
• Breanna Koncak, AU.D, CCC-A
• Ann Liu Konieczny, PA
• Christa Marie Konyndyk, APRN
• Robert A. Kooken, PH.D.
• Tiffany Alexis Koonce, DO
• Julie Ann Koornneef, PT
• Virginia Kooyman, VIRGINIA

• Anatomic Pathology & Clinical Pathology Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Anatomic Pathology & Clinical Pathology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.