DR. MARCELO KUGELMAS M.D
NPI 1992819130
Internal Medicine - Gastroenterology in Englewood, CO
About Dr. Marcelo Kugelmas M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARCELO KUGELMAS M.D (NPI 1992819130) is an individual gastroenterology provider in Englewood, Colorado, licensed in Colorado (38784) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Marcelo Kugelmas M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Marcelo Kugelmas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Englewood, CO 80113
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: South Denver Gastroenterology, P.C
- 55 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.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
ENGLEWOOD, CO 80113
ENGLEWOOD, CO 80113
ENGLEWOOD, CO 80113
ENGLEWOOD, CO 80113
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 Marcelo Kugelmas's NPI number?
The NPI number for Marcelo Kugelmas is 1992819130. It was assigned to this individual provider in the NPPES registry on August 17, 2006. The provider is also known as Dr. Marcelo Kugelmas.
Where is Marcelo Kugelmas located?
Marcelo Kugelmas practices at 499 E Hampden Ave Ste 420, Englewood, CO 80113. The listed phone number is (303) 788-8888.
What is Marcelo Kugelmas's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Marcelo Kugelmas enrolled in Medicare?
Yes. Marcelo Kugelmas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Marcelo Kugelmas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marcelo Kugelmas reassigns Medicare benefits to South Denver Gastroenterology, PC (Englewood, CO). The 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 Marcelo Kugelmas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marcelo Kugelmas was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Marcelo Kugelmas, M.D · NPI 1992819130
Gastroenterology physician in Englewood, Colorado. Individual provider, active in the CMS NPPES registry since August 17, 2006.
## Identity
- **NPI:** 1992819130 (Entity type: Individual)
- **Enumerated:** August 17, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 38784 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 499 E HAMPDEN AVE, STE 420, Englewood, CO 80113-2780
- **Phone:** (303) 788-8888 · **Fax:** (866) 896-1158
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** South Denver Gastroenterology, PC (NPI 1275139578, Englewood, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** October 31, 2023
- **Other identifiers:** Medicaid 41779525 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1992819130) · Data from the CMS NPPES public registry.