Active NPI
Stefan J. Chimoskey, MD
- Sleep Medicine (Family Medicine) Physician
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Family Medicine) Physician
- License
- 0052058
- Practice address
- 3601 Arapahoe Ave
Unit D180
Boulder, CO 80303-1584 - Phone
- (720) 845-5858
- Fax
- (505) 288-3642
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2001156 | NM | |
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | 2001-156 | NM | |
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | 0052058 | CO | Primary |
Addresses
Primary practice location
3601 Arapahoe Ave
Unit D180
Boulder, CO 80303-1584
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-5356
Other practice location 1
3901 Atrisco Dr NW
PMG Atrisco
Albuquerque, NM 87120-1627
Phone (505) 462-7575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35424737 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, CO, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100113000459 | NM | Practitioner - Sleep Medicine | 1658412648 | Reassigns benefits to 1 organization |
| I20140106000240 | CO | Practitioner - Sleep Medicine | 1658412648 | Reassigns benefits to 2 organizations |
| I20240926003885 | MT | Practitioner - Sleep Medicine | 1658412648 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- University of Washington School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Intermountain Medical Group Denver LLC
Practice addresses (Care Compare)
Broomfield, CO 80021
Phone (720) 807-4461
12905 W 40TH Ave
Wheat Ridge, CO 80401-2793
8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370
Hospital & facility affiliations
- Intermountain Health Lutheran Hospital
- Intermountain Health St Vincent Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001156 | NM | MD | Family Medicine Physician |
| 0052058 | CO | MD | Sleep Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omnisleep LLC | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Current | Accepting new patients | |
| SCL Health Medical Group - Billings LLC | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Family Medicine | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc. | Current | Accepting new patients | |
| Montrose Memorial Hospital, Inc | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| SCL Health Medical Group - Billings, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Family Medicine | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Family Medicine | Current | Accepting new patients |
| Montrose Memorial Hospital, Inc | Current | Accepting new patients | |
| Montrose Memorial Hospital, Inc | Current | Accepting new patients | |
| SCL Health Medical Group - Billings LLC | Current | Accepting new patients | |
| SCL Health Montana | Past | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Sleep Medicine | Past | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
12905 W 40th Ave
Ste 440
Golden, CO 80401
Phone (303) 265-5780
12905 W 40th Ave
Ste 405
Golden, CO 80401
Phone (303) 265-5740
711 N Taylor St
Ste 200
Gunnison, CO 81230
Phone (970) 240-1020
711 N Taylor St
#200
Gunnison, CO 81230
800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211
2900 12th Ave N
Ste 500E
Billings, MT 59101
Phone (406) 238-6380
16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205
3810 Masthead St NE
Albuquerque, NM 87109
Phone (505) 243-3514
3874 Masthead St NE
Albuquerque, NM 87109
Phone (505) 843-8758
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000
2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172
Interoperability endpoints
- stefan.chimoskey.1@21495.direct.athenahealth.com
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
CO, Family Medicine
-
- Critical Access Hospital
- Gallup, NM
- NPI 1689784506
NM
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
- Foot & Ankle Surgery Podiatrist
- Thornton, CO
- NPI 1730533902
-
- General Practice Physician
- Billings, MT
- NPI 1669192134
-
- Family Medicine Physician
- Lakewood, CO
- NPI 1114531522
Family Medicine
-
- Pulmonary Disease Physician
- Montrose, CO
- NPI 1285803635
-
- Diagnostic Radiology Physician
- Montrose, CO
- NPI 1437997947
-
- Sleep Disorder Diagnostic Clinic/Center
- Albuquerque, NM
- NPI 1164410528
-
- Rural Health Clinic/Center
- Gallup, NM
- NPI 1689779860
Family Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1023102498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PHS PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666",
"telephone_number": "505-923-5356",
"fax_number": "505-923-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 ARAPAHOE AVE",
"address_2": "UNIT D180",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031584",
"telephone_number": "720-845-5858",
"fax_number": "505-288-3642"
}
],
"practiceLocations": [
{
"address_1": "3901 Atrisco Dr NW",
"address_2": "PMG ATRISCO",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871201627",
"country_code": "US",
"telephone_number": "505-462-7575",
"fax_number": "505-462-7555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIMOSKEY",
"first_name": "STEFAN",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "2001156",
"primary": false
},
{
"code": "207QS1201X",
"taxonomy_group": "",
"desc": "Family Medicine, Sleep Medicine",
"state": "NM",
"license": "2001-156",
"primary": false
},
{
"code": "207QS1201X",
"taxonomy_group": "",
"desc": "Family Medicine, Sleep Medicine",
"state": "CO",
"license": "0052058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35424737",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.