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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DMITRIY KRAVTSOV MD
NPI 1669167367
Internal Medicine in Aurora, CO

Active since April 07, 2023PECOS Enrolled
12631 E 17TH AVE, AURORA, CO 80045(303) 724-1784 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2026, Apr 7, 2023 (2 updates tracked since 2023).

About Dmitriy Kravtsov Md NPPES

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

DMITRIY KRAVTSOV MD (NPI 1669167367) is an individual internal medicine provider in Aurora, Colorado, licensed in Colorado (DR.0078097) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669167367
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDMITRIY KRAVTSOVCredential: MD
Location Address12631 E 17TH AVEAurora, CO 80045-2527
Mailing Address12631 East 17th Ave, Mailstop B177Aurora, CO 80045 · (303) 724-1784
Phone(303) 724-1784
Sole ProprietorNo
Enumeration DateApril 7, 2023
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1669167367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CO · DR.0078097
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12631 E 17TH AVE, Aurora, CO 80045
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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)

Dmitriy Kravtsov 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
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.

ANNIKA DANIELLE RECZEK MD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-5000
SARAH ASHLEY
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
MARIA IZABEL KUGELMAS GUARITA LOCKWOOD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 887-6343
ELIZABETH JONES DO
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
DR. SAMANTHA NICOLE FOUNTAIN MD, MMEDSCI
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-2680
DR. BEZA TESHOME TAYACHEW MD, MPH
Internal Medicine
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
HANA MUSE KUSUMOTO MPH, MD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
SPENCER SURESH BURT MD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784

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 Dmitriy Kravtsov's NPI number?

The NPI number for Dmitriy Kravtsov is 1669167367. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Dmitriy Kravtsov located?

Dmitriy Kravtsov practices at 12631 E 17th Ave, Aurora, CO 80045. The listed phone number is (303) 724-1784.

What is Dmitriy Kravtsov's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dmitriy Kravtsov enrolled in Medicare?

Yes. Dmitriy Kravtsov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dmitriy Kravtsov was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.