Individual provider Active NPI

Stefan J. Chimoskey, MD

  • Sleep Medicine (Family Medicine) Physician
  • Boulder, CO
National Provider Identifier
1023102498
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
0052058 Issued in CO
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

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
35424737MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO, MT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100113000459 NM Practitioner - Sleep Medicine 1658412648 Reassigns benefits to 1 organization
I20140106000240 CO Practitioner - Sleep MedicinePractitioner - Family Practice 1658412648 Reassigns benefits to 2 organizations
I20240926003885 MT Practitioner - Sleep MedicinePractitioner - Family Practice 1658412648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Family Practice
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 LLCGroup PAC ID 0840513552, 571 clinicians

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 Hospital, Wheat Ridge, CO, CCN 060009
  • Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001156NMMDFamily Medicine Physician
0052058COMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omnisleep LLC CurrentSince Aug 1, 2014 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Jul 25, 2011 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Sep 18, 2024 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Family Medicine CurrentSince Jul 25, 2011 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Montrose Memorial Hospital, Inc CurrentSince Feb 13, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 7, 2025 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Sep 18, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine CurrentSince Jun 7, 2025 Accepting new patients
Montrose Memorial Hospital, Inc Current Accepting new patients
Montrose Memorial Hospital, Inc CurrentSince Feb 13, 2024 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

  • Direct secure messaging: 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.

View all 18

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

Verify at the official NPI Registry.