Individual provider Active NPI

Tod Sweeney, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Arvada, CO
National Provider Identifier
1003813999
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
39385 Issued in CO
Practice address
6390 Gardenia St
Suite 140
Arvada, CO 80004-3535
Phone
(720) 898-1110
Fax
(720) 898-1113
NPI assigned
Jul 7, 2005
Last updated
Sep 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39385 CO
Sports Medicine (Family Medicine) Physician 207QS0010X 39385 CO Primary

Addresses

Primary practice location

6390 Gardenia St
Suite 140
Arvada, CO 80004-3535

Mailing address

6390 Gardenia St
Suite 140
Arvada, CO 80004-3535
Phone (720) 898-1110

Other identifiers 1

IdentifierTypeStateIssuer
50571737MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080117000053 CO Practitioner - Family PracticePractitioner - Sports Medicine 9335220235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39385COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jan 1, 2015 Accepting new patients
Sports and Family Medicine of Colorado Sports Medicine Past Accepting new patients
Highlands Ranch Healthcare LLC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1003813999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6390 GARDENIA ST",
            "address_2": "SUITE 140",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800043535",
            "telephone_number": "720-898-1110",
            "fax_number": "720-898-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6390 GARDENIA ST",
            "address_2": "SUITE 140",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800043535",
            "telephone_number": "720-898-1110",
            "fax_number": "720-898-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "TOD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39385",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CO",
            "license": "39385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50571737",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.