OrganizationActive
Evergreen Pediatrics, LLC
NPI 1689839144 · Pediatrics Physician · Evergreen, CO
Evergreen Pediatrics, LLC is a Pediatrics Physician organization in Evergreen, CO (NPI 1689839144).
Provider details
- NPI number
- 1689839144
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Kutalek, Owner(303) 674-6671
- License
- 26133 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30960 Stagecoach Blvd
Suite W-120
Evergreen, CO 80439-7902
Phone: (303) 674-6671
Fax: (303) 674-0031
Street-level locationGet directions
Mailing address
30960 Stagecoach Blvd
Evergreen, CO 80439-7902
Other names (DBA / former)
- Doing business as
- Evergreen Conifer Pediatrics
Registry dates
- Enumerated
- 2008-07-24
- Last updated
- 2008-07-24
Frequently asked questions
- What is Evergreen Pediatrics, LLC's NPI number?
- Evergreen Pediatrics, LLC's National Provider Identifier (NPI) is 1689839144, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Pediatrics, LLC?
- Evergreen Pediatrics, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Evergreen Pediatrics, LLC located?
- Evergreen Pediatrics, LLC's practice location on file with NPPES is 30960 Stagecoach Blvd, Evergreen, CO 80439-7902.
- What is Evergreen Pediatrics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Pediatrics, LLC is (303) 674-6671.
- Who is the authorized official for Evergreen Pediatrics, LLC?
- The authorized official listed on Evergreen Pediatrics, LLC's NPPES record is Kenneth Kutalek, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Pediatrics, LLC's NPI active?
- Yes — Evergreen Pediatrics, LLC's NPI (1689839144) is active in the NPPES registry as of the last update on 2008-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.