MANDIP KC (MD) – Gastroenterology Physician, NPI 1487099685

MANDIP KC (MD) is a healthcare provider. based in Castle rock, Colorado. specializing in INTERNAL MEDICINE, GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 60475 (MN). The NPI Number for MANDIP KC (MD) is 1487099685

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MANDIP KC (MD)
NPI
1487099685
Phone
(303) 788-8888
Address
3911 AMBROSIA ST STE 201
Enumeration Date
2 May 2013
Last Update Date
23 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
3037888888
Graduation Year
2013 (13 years ago)
PAC ID
8628373628
Group Practice PAC ID
2062302508
Professional Enrollment ID
I20220813000732
Address ID
CO801093888CA3911XSTXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:13State licenses:2Digital endpointsOther names

3,638 INTERNAL MEDICINE in MN

Provider Addresses for MANDIP KC (MD)

  • 3911 AMBROSIA ST STE 201

    CASTLE ROCK, CO 801093888

    Phone: (303) 788-8888

    Fax: (844) 347-5158

    Type: Mailing

  • 401 E RIVER PKWY

    SUITE 138

    MINNEAPOLIS, MN 554550368

    Phone:

    Type: Mailing

  • 420 DELAWARE ST SE

    MMC 284

    MINNEAPOLIS, MN 554550341

    Phone: (612) 626-3019

    Type: Location

  • 10 INVERNESS DR E STE 220

    ENGLEWOOD, CO 801125612

    Phone: (303) 788-8888

    Fax: (303) 768-8774

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 186 Open Payments records for all available years, with a total value of $4,171.

Total Amount is formed as General ($4,171) + Research ($0) + Ownership ($0) = $4,171.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,016).

Total Amount

$4,171

General + Research + Ownership

Payments

186

Total payment records

General Amount

$4,171

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2022-08-13

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
I20220813000732IGastroenterologyCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes7373$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare6666$0
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito5050$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope4141$0
99213Established patient office or other outpatient visit, 20-29 minutes3729$0
View full utilization report →

Insurance plans in this area (ZIP 80109)

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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: 2062302508View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YCO
Certified Registered Nurse Anesthetist (Crna)MA
Gastroenterology, Internal MedicineCO
G A S T R O E N T E R O L O G YCO
G A S T R O E N T E R O L O G YCO
-CO
G A S T R O E N T E R O L O G YNY
G A S T R O E N T E R O L O G YCO
Certified Registered Nurse Anesthetist (Crna)CO
Registered Dietitian Or Nutrition ProfessionalCO

Reviews

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Frequently asked questions

Does MANDIP KC (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MANDIP KC (MD) uses 1487099685.
Does CMS list MANDIP KC (MD) as active?
Yes — MANDIP KC (MD) is active in the NPI listing used on this page.
What is MANDIP KC (MD)'s specialty?
The listing groups MANDIP KC (MD) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is MANDIP KC (MD) based?
MANDIP KC (MD) is tied to Castle Rock, Colorado in the data we show; additional addresses may exist on the full record.
Why does MANDIP KC (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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