KEVIN ALEXANDER PETTIT M.D.
NPI 1104351998
Pediatrics - Pediatric Cardiology in Aurora, CO
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 and maintains a secondary practice location in Denver.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kevin Alexander Pettit M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kevin Pettit reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Aurora, CO 80045
- Reassigned Medicare billing, Colorado enrollment
- 4,283 clinicians in this Medicare group
Denver, CO 80204
- Reassigned Medicare billing, Colorado enrollment
- 2,259 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
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 enrollment system.
Which organizations bill Medicare for Kevin Pettit's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Pettit reassigns Medicare benefits to 2 organizations: University Physicians Incorporated (Aurora, CO) and Denver Health And Hospital Authority (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Pettit's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Pettit accept?
Health plans from Select Health 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.
# Kevin Alexander Pettit, M.D. · NPI 1104351998
Pediatric Cardiology physician in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since April 29, 2017.
## Identity
- **NPI:** 1104351998 (Entity type: Individual)
- **Enumerated:** April 29, 2017
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** DR.0063901 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 13123 E 16TH AVE, Aurora, CO 80045-7106
- **Phone:** (720) 777-2940
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Physicians Incorporated (NPI 1083662498, Aurora, CO); Denver Health And Hospital Authority (NPI 1477569838, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104351998) · Data from the CMS NPPES public registry.