DR. KAREN KELLY (M.D.) – Internal Medicine Physician, NPI 1962409342

DR. KAREN KELLY (M.D.) is a healthcare provider. based in Golden, Colorado. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 29388 (CO). The NPI Number for DR. KAREN KELLY (M.D.) is 1962409342

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAREN KELLY (M.D.)
NPI
1962409342
Phone
(303) 716-8013
Address
1707 COLE BLVD
Enumeration Date
30 June 2005
Last Update Date
4 October 2013

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3039882680
Graduation Year
1986 (40 years ago)
PAC ID
9830084938
Group Practice PAC ID
9537054614
Professional Enrollment ID
I20100923000846
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KAREN KELLY (M.D.)

  • 1707 COLE BLVD

    STE 100

    GOLDEN, CO 804013220

    Phone: (303) 716-8013

    Fax: (303) 763-5495

    Type: Mailing

  • Layne Physical Therapy, 2801, Youngfield Street, Golden, Jefferson County, Colorado, 80401, United States

    STE 120

    GOLDEN, CO 804012263

    Phone: (720) 898-9427

    Fax: (303) 302-0808

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $185.

Total Amount is formed as General ($185) + Research ($0) + Ownership ($0) = $185.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: GENZYME CORPORATION ($135).

Total Amount

$185

General + Research + Ownership

Payments

3

Total payment records

General Amount

$185

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

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: 2010-09-23

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
I20100923000846IInternal 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 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: 9537054614View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. KAREN KELLY (M.D.)?
The federal identifier for DR. KAREN KELLY (M.D.) is NPI 1962409342.
Is DR. KAREN KELLY (M.D.) active in the national directory?
DR. KAREN KELLY (M.D.)'s public NPI profile is in an active state.
What kind of provider is DR. KAREN KELLY (M.D.)?
The page reflects Internal Medicine Physician for DR. KAREN KELLY (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. KAREN KELLY (M.D.)?
We surface Golden, Colorado for DR. KAREN KELLY (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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