Conifer Pediatrics
NPI 1265929814ActiveOrganization· Pediatrics· Conifer, CO
Pediatrics in Conifer, Colorado, registered in NPPES in April 2018, part of Evergreen Pediatrics LLC. The authorized official on file is Kenneth John Kutalek, MD, Owner/Physician.
Overview
| NPI | 1265929814 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Evergreen Pediatrics LLC |
| NPI issued | Apr 19, 2018 |
| Last updated in NPPES | Apr 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 26133 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pediatrics providers in Conifer
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