KURTIS MICHAEL DOSTAL MD
NPI 1053113902
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since March 24, 2025PECOS Enrolled
12631 E 17TH AVE, AURORA, CO 80045(303) 724-1784 Get Directions Write a Review

NPPES record last updated: July 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kurtis Michael Dostal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KURTIS MICHAEL DOSTAL MD (NPI 1053113902) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053113902
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKURTIS MICHAEL DOSTALCredential: MD
Location Address12631 E 17TH AVEAurora, CO 80045-2527
Mailing Address12631 E 17th AveAurora, CO 80045-2527 · (303) 724-1784
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateJuly 19, 2025
NPPES CertifiedJuly 19, 2025
NPI 1053113902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License TL.0010622 (CO)
12631 E 17TH AVE, Aurora, CO 80045

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kurtis Michael Dostal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Internal Medicine
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kurtis Dostal's NPI number?

The NPI number for Kurtis Dostal is 1053113902. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Kurtis Dostal located?

Kurtis Dostal practices at 12631 E 17th Ave, Aurora, CO 80045. The listed phone number is (303) 724-1784.

What is Kurtis Dostal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kurtis Dostal enrolled in Medicare?

Yes. Kurtis Dostal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kurtis Dostal was last updated on July 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.