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KENNY TA DO
NPI 1235930603
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since March 21, 2025PECOS Enrolled
1501 S POTOMAC ST, AURORA, CO 80012(303) 695-2600 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenny Ta Do NPPES

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

KENNY TA DO (NPI 1235930603) 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

NPI1235930603
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKENNY TACredential: DO
Location Address1501 S POTOMAC STAurora, CO 80012-5411
Mailing Address1501 S Potomac StAurora, CO 80012-5411 · (303) 695-2600
Phone(303) 695-2600
Sole ProprietorYes
Enumeration DateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
✔ NPI 1235930603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1501 S POTOMAC ST, Aurora, CO 80012
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenny Ta Do 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.

CAREPOINT HOSPITAL MEDICINE, PLLC
Hospitalist
1501 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 695-2628
RICHARD W. PENLAND
Emergency Medicine (Pediatric Emergency Medicine)
1501 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 695-2628
HEALTHONE HEART CARE LLC
Internal Medicine (Cardiovascular Disease)
1501 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 695-2600
HCA-HEALTHONE LLC
General Acute Care Hospital
1501 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 695-2834
EMILY ANTOINETTE WILLIAMS PAC
Physician Assistant (Surgical)
1501 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (706) 863-9595
CHRISTINE NGUYEN DO
Student in an Organized Health Care Education/Training Program
1501 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 264-9243
DR. MUK CHUN YAN DO
Hospitalist
1501 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 338-4545
NEAL P. O'CONNOR
Emergency Medicine
1501 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 695-2628

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 Kenny Ta's NPI number?

The NPI number for Kenny Ta is 1235930603. It was assigned to this individual provider in the NPPES registry on March 21, 2025.

Where is Kenny Ta located?

Kenny Ta practices at 1501 S Potomac St, Aurora, CO 80012. The listed phone number is (303) 695-2600.

What is Kenny Ta's specialty?

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

Is Kenny Ta enrolled in Medicare?

Yes. Kenny Ta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenny Ta was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.