DR. GREGORY F KELLERMEYER (M.D.) – Psychiatry Physician, NPI 1043385396

DR. GREGORY F KELLERMEYER (M.D.) is a healthcare provider. based in Denver, Colorado. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. A97506 (CA). The NPI Number for DR. GREGORY F KELLERMEYER (M.D.) is 1043385396

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGORY F KELLERMEYER (M.D.)
NPI
1043385396
Phone
(303) 338-3382
Address
10350 E DAKOTA AVE
Enumeration Date
22 November 2006
Last Update Date
2 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3033384545
Graduation Year
2001 (25 years ago)
PAC ID
9830169820
Group Practice PAC ID
1254238454
Professional Enrollment ID
I20040728000119
Address ID
CO802471314DE10350CXXX501
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateway
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

607 PSYCHIATRY in CO

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Provider Addresses for DR. GREGORY F KELLERMEYER (M.D.)

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone: (303) 338-3382

    Type: Mailing

  • Kaiser Permanente Hidden Lake Medical Offices, 7701, Sheridan Boulevard, Westminster, Jefferson County, Colorado, 80003, United States

    WESTMINSTER, CO 800032605

    Phone: (303) 338-4545

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040728000119IPsychiatryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80247)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254238454View full group profile
NameSpecialtyState
Nurse PractitionerCO
-CO
Physical Therapist In Private PracticeCO
-CO
-CO
-CO
Cardiovascular Disease (Cardiology)CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Family PracticeCO

Reviews

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Frequently asked questions

Can I use this page to confirm DR. GREGORY F KELLERMEYER (M.D.)'s NPI?
Yes. DR. GREGORY F KELLERMEYER (M.D.) is listed with NPI 1043385396 in the public NPI dataset.
Is DR. GREGORY F KELLERMEYER (M.D.) still practicing?
DR. GREGORY F KELLERMEYER (M.D.) is currently listed as active in the public NPI registry.
What is DR. GREGORY F KELLERMEYER (M.D.)'s primary classification?
Psychiatry Physician is the headline specialty for DR. GREGORY F KELLERMEYER (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. GREGORY F KELLERMEYER (M.D.) based?
DR. GREGORY F KELLERMEYER (M.D.) is tied to Denver, Colorado in the data we show; additional addresses may exist on the full record.
Is the information about DR. GREGORY F KELLERMEYER (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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