DR. KRISTA LEIGH ANTENUCCI (DO) – Surgery Physician, NPI 1366607889

DR. KRISTA LEIGH ANTENUCCI (DO) is a healthcare provider. based in Golden, Colorado. specializing in Surgery Physician. They hold the professional credentials DO. They hold a License No. DR.0057492 (CO). The NPI Number for DR. KRISTA LEIGH ANTENUCCI (DO) is 1366607889

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTA LEIGH ANTENUCCI (DO)
NPI
1366607889
Phone
(303) 940-8200
Address
400 INDIANA ST
Enumeration Date
24 July 2008
Last Update Date
18 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034671400
Graduation Year
2008 (18 years ago)
PAC ID
4789818667
Group Practice PAC ID
6800895947
Professional Enrollment ID
I20161209000481

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. KRISTA LEIGH ANTENUCCI (DO)

  • Red Rocks Medical Center, 400, Indiana Street, Golden, Jefferson County, Colorado, 80401, United States

    SUITE 200

    GOLDEN, CO 804015027

    Phone: (303) 940-8200

    Fax: (303) 940-8400

    Type: Mailing

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone:

    Type: Mailing

  • 10240 PARK MEADOWS DR

    LONE TREE, CO 801245425

    Phone: (303) 338-4545

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2023-03-14 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($79).

Total Amount

$127

General + Research + Ownership

Payments

2

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-12-09

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
I20161209000481IGeneral SurgeryCOTBD

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 80401)

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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: 6800895947View full group profile
NameSpecialtyState
General SurgeryCO
-CO
General SurgeryCO
General SurgeryCO
General SurgeryCO
General SurgeryCO
-CO
-CO
General SurgeryCO
Thoracic Surgery, Vascular SurgeryCO

Reviews

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Frequently asked questions

Can I cross-check DR. KRISTA LEIGH ANTENUCCI (DO) using NPI 1366607889?
NPI 1366607889 belongs to DR. KRISTA LEIGH ANTENUCCI (DO); compare other details if you need extra assurance.
Is DR. KRISTA LEIGH ANTENUCCI (DO) still an active registrant?
DR. KRISTA LEIGH ANTENUCCI (DO) carries an active NPI according to the public dataset.
How would a patient describe DR. KRISTA LEIGH ANTENUCCI (DO)'s focus?
For DR. KRISTA LEIGH ANTENUCCI (DO), the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Colorado is DR. KRISTA LEIGH ANTENUCCI (DO) registered?
Use Golden, Colorado as the headline location for DR. KRISTA LEIGH ANTENUCCI (DO) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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