KEVIN SHAN MD
NPI 1447191507
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since April 02, 2026PECOS Enrolled
12631 E 17TH AVE STE B177, AURORA, CO 80045(303) 724-1784 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Shan Md NPPES

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

KEVIN SHAN MD (NPI 1447191507) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447191507
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN SHANCredential: MD
Location Address12631 E 17TH AVE STE B177Aurora, CO 80045-2527
Mailing Address12631 E 17th Ave Ste B177Aurora, CO 80045-2527 · (303) 724-1784
Sole ProprietorNo
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
NPI 1447191507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

12631 E 17TH AVE STE B177, 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)

Kevin Shan 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 STE B177
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE B177
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE B177
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE B177
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE B177
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE B177
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE B177
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE B177
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 Shan's NPI number?

The NPI number for Kevin Shan is 1447191507. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Kevin Shan located?

Kevin Shan practices at 12631 E 17th Ave Ste B177, Aurora, CO 80045. The listed phone number is (303) 724-1784.

What is Kevin Shan's specialty?

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

Is Kevin Shan enrolled in Medicare?

Yes. Kevin Shan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Shan was last updated on April 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.