Active NPI
Edward Shuherk, M.D.
- Family Medicine Physician
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 37303
- Practice address
- 12790 W Alameda Pkwy
Lakewood, CO 80228-2859 - Phone
- (303) 403-6350
- Fax
- (303) 403-6372
- NPI assigned
- May 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R7704 | IA | |
| Family Medicine Physician | 207Q00000X | 37303 | IA | Primary |
Addresses
Primary practice location
12790 W Alameda Pkwy
Lakewood, CO 80228-2859
Mailing address
12790 W Alameda Pkwy
Lakewood, CO 80228-2859
Phone (303) 403-6350
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0469940 | Medicaid | IA | |
| P00741121 | Other | IA | RR MEDICARE |
| 1033166251 | Medicaid | IA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Physical Therapy of West Denver Limited Partnership
Practice addresses (Care Compare)
Broomfield, CO 80021
Phone (720) 807-4461
12790 W Alameda Pkwy a
Green Mountain Clinic Primary Care
Lakewood, CO 80228-2850
Phone (303) 403-6350
400 Indiana St
Golden, CO 80401-5033
Phone (720) 452-1267
8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7704 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Family Medicine | Current | Accepting new patients |
Locations
12790 W Alameda Pkwy
Lakewood, CO 80228
Phone (303) 403-6350
12790 W Alameda Pkwy
Ste A
Lakewood, CO 80228
Phone (303) 403-6350
Organizations & group practices 2
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
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, CO
- NPI 1629071758
-
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1811739923
-
- General Acute Care Hospital
- Golden, CO
- NPI 1235803917
-
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1619706249
-
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1669461281
-
- General Acute Care Hospital
- Golden, CO
- NPI 1891576716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1033166251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12790 W ALAMEDA PKWY",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802282859",
"telephone_number": "303-403-6350",
"fax_number": "303-403-6372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12790 W ALAMEDA PKWY",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802282859",
"telephone_number": "303-403-6350",
"fax_number": "303-403-6372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUHERK",
"first_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R7704",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "37303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0469940",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00741121",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033166251",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.