Organization Active NPI

Spine Pain and Rehabilitation Center of Colorado, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Denver, CO
National Provider Identifier
1023253689
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
45421 Issued in CO
Legal business name
SPINE PAIN AND REHABILITATION CENTER OF COLORADO, PLLC
Practice address
2480 S Downing St Ste 210
Denver, CO 80210-5890
Phone
(303) 282-7772
Fax
(303) 282-4407
NPI assigned
Dec 11, 2008
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Dr. Gin-Ming Hsu, MDNPI 1265415988
Title
President/Officer
Phone
(303) 282-7772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Physical Medicine & Rehabilitation Physician 208100000X 45421 CO Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 45421 CO

Addresses

Primary practice location

2480 S Downing St Ste 210
Denver, CO 80210-5890

Mailing address

2480 S Downing St Ste 210
Denver, CO 80210-5890
Phone (303) 282-7772

Other identifiers 1

IdentifierTypeStateIssuer
73509272MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090311000434 CO Part B Supplier - Clinic/Group Practice 8820154164 Receives reassigned benefits from 2 practitioners
Practice locations: Denver, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2034572Spine, Pain, Rehabilitation Center of Colorado2480 S Downing St, Ste 210, Denver, CO 80210AccreditationDec 9, 2026

National Provider Directory

National Provider Directory

Locations

2480 S Downing St
#210
Denver, CO 80210
Phone (303) 282-7772

2480 S Downing St
Ste 210
Denver, CO 80210
Phone (303) 282-7772

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1023253689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 S DOWNING ST STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105890",
            "telephone_number": "303-282-7772",
            "fax_number": "303-282-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 S DOWNING ST STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105890",
            "telephone_number": "303-282-7772",
            "fax_number": "303-282-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE PAIN AND REHABILITATION CENTER OF COLORADO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "GIN-MING",
        "authorized_official_title_or_position": "PRESIDENT/OFFICER",
        "authorized_official_telephone_number": "303-282-7772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "45421",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CO",
            "license": "45421",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73509272",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.