KEVIN ALEXANDER PETTIT M.D.
NPI 1104351998
Pediatrics - Pediatric Cardiology in Aurora, CO

Active since April 29, 2017PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
13123 E 16TH AVE, AURORA, CO 80045(720) 777-2940 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2023, Apr 6, 2023, Apr 16, 2020 and 3 more (6 updates tracked since 2017).

About Kevin Alexander Pettit M.d. NPPES

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

KEVIN ALEXANDER PETTIT M.D. (NPI 1104351998) is an individual pediatric cardiology provider in Aurora, Colorado, licensed in Colorado (DR.0063901) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2017).

NPPES Registry Identity

NPI1104351998
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameKEVIN ALEXANDER PETTITCredential: M.D.
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2017
Enumeration DateApril 29, 2017
Last NPPES UpdateJuly 25, 20236 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
NPI 1104351998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License Licensed in CO · DR.0063901
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 70149 (WI)
13123 E 16TH AVE, Aurora, CO 80045

Secondary Practice Location 1

Location 1777 Bannock StDenver, CO 80204 · Phone (303) 436-4949

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kevin Alexander Pettit M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062782790
PECOS Enrollment IDI20230628002216
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
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 Kevin Pettit's NPI number?

The NPI number for Kevin Pettit is 1104351998. It was assigned to this individual provider in the NPPES registry on April 29, 2017.

Where is Kevin Pettit located?

Kevin Pettit practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-2940.

What is Kevin Pettit's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Kevin Pettit enrolled in Medicare?

Yes. Kevin Pettit is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin Pettit accept?

Health plans from Medica and UnitedHealthcare list Kevin Pettit as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Pettit was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.