DR. JONATHAN M KUSUMI MD
NPI 1427104108
Psychiatry & Neurology - Psychiatry in Denver, CO

Q: What is Jonathan Kusumi's NPI number?

The NPI number for Jonathan Kusumi is 1427104108. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Jonathan Kusumi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Kusumi was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 26, 2007PECOS Enrolled

10350 E DAKOTA AVE STE B, DENVER, CO 80247(303) 338-4545 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 28, 2021, Jul 30, 2019, Feb 19, 2016 and 1 more (4 updates tracked since 2016).

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About Dr. Jonathan M Kusumi Md NPPES

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

DR. JONATHAN M KUSUMI MD (NPI 1427104108) is an individual psychiatry provider in Denver, Colorado, licensed in Colorado (46775) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427104108

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. JONATHAN M KUSUMICredential: MD

Location Address10350 E DAKOTA AVE STE BDenver, CO 80247-1314

Mailing Address10350 E Dakota AveDenver, CO 80247-1314

Phone(303) 338-4545

Sole ProprietorNo

Enumeration DateJanuary 26, 2007

Last NPPES UpdateMay 28, 20214 updates tracked since enumeration

NPPES CertifiedMay 28, 2021

✔ NPI 1427104108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CO · 46775

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 46775 (CO)

10350 E DAKOTA AVE STE B, Denver, CO 80247

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Other Identifiers 2

Other026837CO · Kaiser Commercial Number

Medicaid54625092CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan M Kusumi 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.

Medicare Billing Reassignments

Medicare enrollment records show Jonathan Kusumi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Colorado Permanente Medical Group, P.C.

Same address

Internal Medicine

10350 E DAKOTA AVE
Denver, CO 80247

Reassigned Medicare billing, Colorado enrollment
Medicare enrollment name: Colorado Permanente Medical Group PC
1,715 clinicians in this Medicare group

NPI 1760599724 (303) 338-4545

Denver Health And Hospital Authority

6.7 mi

General Practice

777 BANNOCK ST
Denver, CO 80204

Reassigned Medicare billing, Colorado enrollment
2,259 clinicians in this Medicare group

NPI 1477569838 (303) 436-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80247 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$174.82 typical visit price

range $58.06 – $174.82

Typical copayment $43.70 (range $14.51 – $43.70)

Most-billed visit code 99205

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SHANNON MICHELLE PAULSON LPC

Counselor (Professional)