Individual provider Active NPI

Kevin V Lindell, M.D.

  • Family Medicine Physician
  • Fort Morgan, CO
National Provider Identifier
1982899985
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24719 Issued in CO
Practice address
220 E Beaver Ave
Fort Morgan, CO 80701-3103
Phone
(970) 867-8221
NPI assigned
Sep 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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 24719 CO Primary

Addresses

Primary practice location

220 E Beaver Ave
Fort Morgan, CO 80701-3103

Mailing address

905 Fremont Ave
Fort Morgan, CO 80701-3554
Phone (970) 867-7549

Other identifiers 1

IdentifierTypeStateIssuer
01247196MedicaidCO

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
I20090408000160 CO Practitioner - Family Practice 4880741842 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24719COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Clinic for Health Equity CurrentSince Aug 12, 2018 Accepting new patients
Colorado Family Clinic & Professional Recovery Inc PastSince May 20, 2019 Accepting new patients
Colorado Plains Physician Practices LLC Family Medicine Past Accepting new patients

Locations

5250 Leetsdale Dr
Ste 110
Denver, CO 80246
Phone (303) 914-8217

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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1982899985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 FREMONT AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013554",
            "telephone_number": "970-867-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E BEAVER AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013103",
            "telephone_number": "970-867-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDELL",
        "first_name": "KEVIN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "24719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01247196",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

Verify at the official NPI Registry.