NPIMap

Individual provider Active NPI

Carlos F Vera, M.D.

  • Family Medicine Physician
  • Westminster, CO
National Provider Identifier
1023109188
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38482 Issued in CO
Practice address
6080 W 92ND Ave Ste 1000
Westminster, CO 80031-2935
Phone
(303) 427-0796
Fax
(303) 429-9399
NPI assigned
Sep 27, 2006
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38482 CO Primary

Addresses

Primary practice location

6080 W 92ND Ave Ste 1000
Westminster, CO 80031-2935

Mailing address

750 W Hampden Ave Ste 105
Englewood, CO 80110-2167
Phone (303) 341-4730

Other identifiers 1

IdentifierTypeStateIssuer
91202697MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810000535 CO Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 3577592575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

1181 E 120TH Ave Unit a
Thornton Clinic
Thornton, CO 80233-5729
Phone (303) 673-1500

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 20, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 20, 2023 Accepting new patients
Our Lady of Grace Medical Clinic PC Family Medicine PastSince Apr 25, 2005 Accepting new patients
Intermountain Front Range, Inc. Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

1181 E 120th Ave
Unit A
Thornton, CO 80233
Phone (303) 673-1500

Organizations & group practices 6

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.

Hospital & facility affiliations 12

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1023109188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W HAMPDEN AVE STE 105",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102167",
            "telephone_number": "303-341-4730",
            "fax_number": "303-341-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 W 92ND AVE STE 1000",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312935",
            "telephone_number": "303-427-0796",
            "fax_number": "303-429-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "CARLOS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "38482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91202697",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.