KEN KREIDL M.D. NPI 1942284500

NPI Information

  • NPI: 1942284500
  • Provider Name: KEN KREIDL, M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2750 BROADWAY ST
    BOULDER, CO
    ZIP 80304
  • Phone: (303) 440-3000

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NPI Details

Ken Kreidl, M.D. is an ophthalmology in Boulder, CO with 26 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Ken Kreidl, M.D. NPI is 1942284500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

2750 BROADWAY ST
BOULDER, CO
ZIP 80304-573
Phone: (303) 440-3000

The NPI 1942284500 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Photography of the retina (HCPCS:92250)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Closure of tear duct opening using plug (HCPCS:68761)
  • Imaging of retina (HCPCS:92134)
  • Ultrasound scan to determine eye length and lens power (HCPCS:76519)
  • Ct scan of cornea (HCPCS:92025)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Imaging of optic nerve (HCPCS:92133)
  • New patient complete exam of visual system (HCPCS:92004)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of eyelashes using forceps (HCPCS:67820)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 12/6/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology42396COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I03723MEDICARE UPIN
2528918MEDICARE ID-TYPE UNSPECIFIEDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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