Individual provider Active NPI

David Kessel, M.D.

  • Pediatrics Physician
  • Broomfield, CO
National Provider Identifier
1972652808
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
17861 Issued in CO
Practice address
3830 W 121St PL
Broomfield, CO 80020-7921
Phone
(303) 410-8041
Fax
(303) 410-8044
NPI assigned
Jan 9, 2007
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
Pediatrics Physician 208000000X 17861 CO Primary

Addresses

Primary practice location

3830 W 121St PL
Broomfield, CO 80020-7921

Mailing address

3830 W 121St PL
Broomfield, CO 80020-7921
Phone (303) 410-8041

Other identifiers 1

IdentifierTypeStateIssuer
1178615MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17861COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arvada Pediatric Associates, PC Pediatrics Past Accepting new patients
Arvada Pediatric Associates, PC Pediatrics PastSince Sep 5, 2021 Accepting new patients

Organizations & group practices 2

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972652808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 W 121ST PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207921",
            "telephone_number": "303-410-8041",
            "fax_number": "303-410-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 W 121ST PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207921",
            "telephone_number": "303-410-8041",
            "fax_number": "303-410-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSEL",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "17861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1178615",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.