DR. KJELL ANDREW BENSON (MD) – Family Medicine Physician, NPI 1972541845

DR. KJELL ANDREW BENSON (MD) is a healthcare provider. based in Denver, Colorado. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. MD165782 (OR). The NPI Number for DR. KJELL ANDREW BENSON (MD) is 1972541845

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. KJELL ANDREW BENSON (MD)
NPI
1972541845
Phone
Not provided
Address
10350 E DAKOTA AVE
Enumeration Date
3 June 2006
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
9709452840
Graduation Year
2002 (24 years ago)
PAC ID
2860426137
Group Practice PAC ID
3173413101
Professional Enrollment ID
I20140818001939
Address ID
CO816504716RI195XXWXXX201

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness95
Years active:20State licenses:2Other names

1,197 EMERGENCY MEDICINE in CO

Provider Addresses for DR. KJELL ANDREW BENSON (MD)

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone:

    Type: Mailing

  • 8383 W ALAMEDA AVE

    LAKEWOOD, CO 802263007

    Phone: (303) 338-4545

    Type: Location

  • 1905 Blake Ave Ste 101

    Glenwood Springs, CO 816014206

    Phone: (970) 945-2840

    Fax: (970) 945-2893

    Type: Location

  • PO BOX 339

    GLENWOOD SPRINGS, CO 816020339

    Phone: (970) 945-2840

    Type: Mailing

  • 1905 BLAKE AVE STE 101

    GLENWOOD SPRINGS, CO 816014206

    Phone: (970) 945-2840

    Fax: (970) 945-2893

    Type: Location

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone:

    Type: Mailing

  • Northeast 99th Avenue, Russellville, Hazelwood, Portland, Multnomah County, Oregon, 97216, United States

    PORTLAND, OR 972209437

    Phone: (503) 215-4050

    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: 2009-03-03

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
I20090303000123IFamily PracticeCOTBD

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 80247)

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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: 3173413101View full group profile
NameSpecialtyState
Mental Health CounselorCO
Physician AssistantCO
Family PracticeCO
Physician AssistantCO
Internal Medicine, Pediatric MedicineCO
Physician AssistantCO
Clinical Social WorkerCO
-CO
-CO
Family PracticeCA

Reviews

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Frequently asked questions

Does DR. KJELL ANDREW BENSON (MD) have a public NPI I can cite?
Public records show DR. KJELL ANDREW BENSON (MD) under NPI 1972541845.
Should I treat DR. KJELL ANDREW BENSON (MD) as an active provider?
Patients and plans typically see DR. KJELL ANDREW BENSON (MD) as active in the national extract.
What type of care does DR. KJELL ANDREW BENSON (MD) provide?
DR. KJELL ANDREW BENSON (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. KJELL ANDREW BENSON (MD)?
DR. KJELL ANDREW BENSON (MD) shows a connection to Denver, Colorado in registry-derived data.
Why is information missing for DR. KJELL ANDREW BENSON (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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