NPIMap

Organization Active NPI

Medical Billing Management LLC

  • Internal Medicine Physician
  • Louisville, CO
National Provider Identifier
1053537969
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24806 Issued in CO
Legal business name
MEDICAL BILLING MANAGEMENT LLC
Practice address
2255 S 88TH St
Louisville, CO 80027-9716
Phone
(303) 619-3260
NPI assigned
Apr 18, 2007
Last updated
Dec 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Dr. Richard Wills, MDNPI 1912122938
Title
Owner
Phone
(303) 661-0862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 24806 CO Primary

Addresses

Primary practice location

2255 S 88TH St
Louisville, CO 80027-9716

Mailing address

1930 S Federal Blvd
Denver, CO 80219-5501
Phone (303) 935-9142

Other identifiers 1

IdentifierTypeStateIssuer
75571277MedicaidCO

National Provider Directory

National Provider Directory

Locations

1930 S Federal Blvd
Bldg B
Denver, CO 80219
Phone (303) 832-0978

Practitioners & affiliated clinicians

Practitioners 3

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1053537969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195501",
            "telephone_number": "303-935-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 S 88TH ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279716",
            "telephone_number": "303-619-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL BILLING MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-661-0862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "24806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75571277",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.