Individual provider Active NPI

Petar Golijanin

  • Orthopaedic Surgery Physician
  • Vail, CO
National Provider Identifier
1023692282
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DR.0076810 Issued in CO
Practice address
181 W Meadow Dr Ste 400
Vail, CO 81657-5058
Phone
(970) 680-0795
Fax
(970) 479-5835
NPI assigned
May 12, 2021
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Orthopaedic Surgery Physician 207X00000X DR.0076810 CO Primary

Addresses

Primary practice location

181 W Meadow Dr Ste 400
Vail, CO 81657-5058

Mailing address

181 W Meadow Dr Ste 400
Vail, CO 81657-5058
Phone (970) 680-0795

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
I20260610001202 CO Practitioner - Orthopedic Surgery 1254779200

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

181 W Meadow Dr
Vail, CO 81657-5242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DR.0076810COMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1023692282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR STE 400",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575058",
            "telephone_number": "970-680-0795",
            "fax_number": "970-479-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR STE 400",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575058",
            "telephone_number": "970-680-0795",
            "fax_number": "970-479-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLIJANIN",
        "first_name": "PETAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-12",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "DR.0076810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

Verify at the official NPI Registry.