KEITH KAPATKIN (MD) – Internal Medicine Physician, NPI 1689670655

KEITH KAPATKIN (MD) is a healthcare provider. based in Colorado springs, Colorado. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. MD56380 (TN). The NPI Number for KEITH KAPATKIN (MD) is 1689670655

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
KEITH KAPATKIN (MD)
NPI
1689670655
Phone
(719) 632-4455
Address
4190 E WOODMEN RD STE 100
Enumeration Date
24 June 2005
Last Update Date
16 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195220707
Graduation Year
1978 (48 years ago)
PAC ID
0749219996
Group Practice PAC ID
3072790864
Professional Enrollment ID
I20190404001920
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for KEITH KAPATKIN (MD)

  • East Woodmen Road, Colorado Springs, El Paso County, Colorado, 80927, United States

    COLORADO SPRINGS, CO 809208075

    Phone: (719) 632-4455

    Fax: (719) 633-4613

    Type: Mailing

  • 100, Pro Rodeo Drive, Pikeview, Colorado Springs, El Paso County, Colorado, 80919, United States

    COLORADO SPRINGS, CO 809192334

    Phone: (719) 522-0707

    Fax: (719) 262-9495

    Type: Location

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: 2018-06-29

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
I20180629002083INephrologyTNTBD

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 80920)

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Provider's Procedures

KEITH KAPATKIN (MD) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYTN90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older3125

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: 3072790864View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerCO
Physician AssistantCO
Nurse PractitionerCO
Physician AssistantCO
-CO
Internal MedicineCO
-CO
Nurse PractitionerCO
Internal Medicine, Pediatric MedicineCO

Reviews

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Frequently asked questions

Does KEITH KAPATKIN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KEITH KAPATKIN (MD) uses 1689670655.
Does CMS list KEITH KAPATKIN (MD) as active?
Yes — KEITH KAPATKIN (MD) is active in the NPI listing used on this page.
What healthcare role does KEITH KAPATKIN (MD) hold?
Scheduling teams often label KEITH KAPATKIN (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for KEITH KAPATKIN (MD)?
KEITH KAPATKIN (MD)'s geographic hint is Colorado Springs, Colorado in our summary view.
Why does KEITH KAPATKIN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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