NPIMap

Organization Active NPI

Summit Comfort Anesthesia

  • Certified Registered Nurse Anesthetist
  • Denver, CO
National Provider Identifier
1043712680
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
990790 Issued in CO
Legal business name
SUMMIT COMFORT ANESTHESIA
Practice address
425 S Cherry St Ste 300
Denver, CO 80246
Phone
(888) 209-0305
Fax
(952) 442-3620
NPI assigned
Feb 28, 2018
Last updated
Feb 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Russell Miller, CRNANPI 1538408091
Title
Owner
Phone
(720) 837-4701

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 990790 CO Primary

Addresses

Primary practice location

425 S Cherry St Ste 300
Denver, CO 80246

Mailing address

400 10TH St E
Waconia, MN 55387-4552
Phone (888) 209-0305

Other practice location 1

1685 S Colorado Blvd Unit S-107
Denver, CO 80222-4000
Phone (720) 837-4701

Other practice location 2

5060 S Syracuse St
Denver, CO 80237-2702
Phone (888) 209-0305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180611002183 CO Part B Supplier - Clinic/Group Practice 9830444116 Receives reassigned benefits from 8 practitioners
Practice locations: Parker, CO; Littleton, CO; Denver, CO; Lakewood, CO; Golden, CO; Colorado Springs, CO; Castle Rock, CO; Greenwood Village, CO

National Provider Directory

National Provider Directory

Locations

2352 Meadows Blvd
Ste 205
Castle Rock, CO 80109
Phone (303) 663-7890

1685 S Colorado Blvd
Unit S107
Denver, CO 80222
Phone (720) 837-4701

300 E Mineral Ave
Ste 9
Littleton, CO 80122
Phone (720) 360-3400

Practitioners & affiliated clinicians

Practitioners 8

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": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1043712680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 10TH ST E",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "888-209-0305",
            "fax_number": "952-442-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80246",
            "telephone_number": "888-209-0305",
            "fax_number": "952-442-3620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1685 S Colorado Blvd Unit S-107",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802224000",
            "country_code": "US",
            "telephone_number": "720-837-4701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5060 S Syracuse St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802372702",
            "country_code": "US",
            "telephone_number": "888-209-0305",
            "fax_number": "952-442-3620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT COMFORT ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-837-4701",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "990790",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.