NPIMap

Individual provider Active NPI

Kathleen Beverly Elmer, M.D.

  • Dermatology Physician
  • Colorado Springs, CO
National Provider Identifier
1992863518
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0071585 Issued in CO
Practice address
1220 Lake Plaza Dr Ste 100
Colorado Springs, CO 80906-3548
Phone
(719) 531-5400
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X R7724 TX
Dermatology Physician 207N00000X DR.0071585 CO Primary
Dermatology Physician 207N00000X MD60600179 WA
Dermatology Physician 207N00000X ME58935 FL

Addresses

Primary practice location

1220 Lake Plaza Dr Ste 100
Colorado Springs, CO 80906-3548

Mailing address

8580 Scarborough Dr Ste 225
Colorado Springs, CO 80920-7586
Phone (719) 531-5400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122004500 CO Practitioner - Dermatology 2860644887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rational Dermatology, PCGroup PAC ID 4385775204, 11 clinicians

Practice addresses (Care Compare)

8580 Scarborough Dr
Suite 225
Colorado Springs, CO 80920-7586
Phone 7195315400100

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022

Merit-based Incentive Payment System (MIPS)

Final score
84.08 of 100Reported as group
Quality
81.46
Improvement activities
40
Cost
71.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision46
Removal of skin lesions815
Removal of nail tissue1-10
Removal or shaving of skin growth83
Skin biopsy344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME58935FLMDDermatology Physician
R7724TXMDDermatology Physician
MD60600179WAMDDermatology Physician
DR.0071585COMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rational Dermatology, PC Dermatology CurrentSince Jan 29, 2024 Accepting new patients
Rational Dermatology, PC Dermatology CurrentSince Jan 29, 2024 Accepting new patients
Epiphany Dermatology PA Dermatology CurrentSince Oct 1, 2025 Accepting new patients

Locations

8580 Scarborough Dr
Ste 225
Colorado Springs, CO 80920
Phone (719) 531-5400

1220 Lake Plaza Dr
Ste 100
Colorado Springs, CO 80906
Phone (719) 531-5400

1220 Lake Plaza Dr
Colorado Springs, CO 80906
Phone (719) 531-5400

7832 Pat Booker Rd
Live Oak, TX 78233
Phone (210) 657-9338

15900 La Cantera Pkwy
Ste 20270
San Antonio, TX 78256
Phone (210) 641-9500

18540 Sigma Rd
San Antonio, TX 78258
Phone (210) 490-4661

Interoperability endpoints

  • FHIR API: https://coderm.mmi.prod.fhir.ema-api.com/fhir/r4/

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1992863518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 SCARBOROUGH DR STE 225",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207586",
            "telephone_number": "719-531-5400",
            "fax_number": "719-531-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 LAKE PLAZA DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063548",
            "telephone_number": "719-531-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMER",
        "first_name": "KATHLEEN",
        "middle_name": "BEVERLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R7724",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0071585",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD60600179",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME58935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.