Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kyle Jacob Thompson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619382496

Dr. Kyle Jacob Thompson, MD is a General Surgery in Longmont, Colorado. Graduated from Medical College of Wisconsin in 2014, 12 years ago. Practices with Intermountain Medical Group Denver LLC, a 567-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
12
Trained at
Medical College of Wisconsin
Licensed in
CO
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1750 E Ken Pratt Blvd Fl 3
Longmont, CO 80504-5311
Phone: (720) 718-3930
Fax: (720) 718-0999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DR.0059732 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TL.0005394 (CO)

Record details

NPI number1619382496
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2014
Last updated in NPPESOctober 15, 2020
Certification dateOctober 15, 2020
Mailing address1750 E Ken Pratt Blvd Fl 3, Longmont, CO 80504-5311

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2014 (12 years in practice)
Group practice Intermountain Medical Group Denver Llc — 567 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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