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

Kevin Scott Quackenbush, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1538664545

Kevin Scott Quackenbush, MD is an Anesthesiology in Boulder, Colorado. Graduated from University of Colorado School of Medicine, Aurora in 2018, 8 years ago. Practices with Boulder Valley Anesthesiology, PLLC, a 60-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
8
Trained at
University of Colorado School of Medicine, Aurora
Licensed in
CO
In the registry since
2018
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

4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone: (303) 415-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 12401 E 17th Ave Fl 7, Aurora, CO 80045-2548 — (720) 848-6709
  • 1960 N Ogden St Ste 400, Denver, CO 80218-3670 — (303) 812-6410

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence DR.0068125 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TL.0007177 (CO)

Record details

NPI number1538664545
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2018
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Graduated 2018 (8 years in practice)
Group practice Boulder Valley Anesthesiology, Pllc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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