DR. KENNETH A GOTAAS (MD) – Hospitalist Physician, NPI 1316933161

DR. KENNETH A GOTAAS (MD) is a healthcare provider. based in Lone tree, Colorado. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 38725 (CO). The NPI Number for DR. KENNETH A GOTAAS (MD) is 1316933161

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH A GOTAAS (MD)
NPI
1316933161
Phone
(303) 338-4545
Address
10101 RIDGEGATE PKWY
Enumeration Date
26 September 2005
Last Update Date
17 May 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3033384545
Graduation Year
1997 (29 years ago)
PAC ID
6002960580
Group Practice PAC ID
1254238454
Professional Enrollment ID
I20100913000278
Address ID
CO802471314DE10350CXXX501

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,994 INTERNAL MEDICINE in CO

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Provider Addresses for DR. KENNETH A GOTAAS (MD)

  • Sky Ridge Medical Center, 10101, RidgeGate Parkway, Lone Tree, Douglas County, Colorado, 80124, United States

    LONE TREE, CO 801245522

    Phone: (303) 338-4545

    Type: Mailing

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone:

    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: 2010-09-13

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
I20100913000278IInternal MedicineCOTBD

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 80124)

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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

What is DR. KENNETH A GOTAAS (MD)'s NPI number?
DR. KENNETH A GOTAAS (MD)'s NPI is 1316933161 — the number used across U.S. healthcare to identify this provider.
Is DR. KENNETH A GOTAAS (MD) still an active registrant?
DR. KENNETH A GOTAAS (MD) carries an active NPI according to the public dataset.
What expertise is attributed to DR. KENNETH A GOTAAS (MD)?
DR. KENNETH A GOTAAS (MD)'s specialty line reads Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where in Colorado is DR. KENNETH A GOTAAS (MD) registered?
Use Lone Tree, Colorado as the headline location for DR. KENNETH A GOTAAS (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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