Thomas M Facelle, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

DR.0054957 Issued in CO

Practice address

400 Indiana St
Suite 300
Golden, CO 80401-5027

Phone

(303) 985-2550

Fax

(303) 985-2586

NPI assigned

Nov 1, 2010

Last updated

Aug 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Urology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Urology PLLCGroup PAC ID 2365346558, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thomasfacelle@fu.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Urology, PLLC

  dba Colorado Urology

  • Urology Physician
  • Lone Tree, CO
  • NPI 1962501551
  Medicare reassignment Care Compare group NPD
• Rocky Mountain Lithotripter LLC

  dba The Kidney Stone Center

  • Urology Physician
  • Englewood, CO
  • NPI 1134202435
  Medicare reassignment NPD
• Advanced Urology, PLLC

  • Urology Physician
  • Wheat Ridge, CO
  • NPI 1083264113
  NPD
• Advanced Urology, PLLC

  • Urology Physician
  • Englewood, CO
  • NPI 1386448835
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Lakewood, CO
  • NPI 1104466630
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba St. Anthony Hospital

  • General Acute Care Hospital
  • Lakewood, CO
  • NPI 1164430567
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Lakewood, CO
  • NPI 1740820273
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba Flight for Life Colorado

  • Air Ambulance
  • Lakewood, CO
  • NPI 1992425854

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1114227501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29048",
            "address_2": "MSC: 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389048",
            "telephone_number": "303-985-2550",
            "fax_number": "303-985-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST",
            "address_2": "SUITE 300",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015027",
            "telephone_number": "303-985-2550",
            "fax_number": "303-985-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACELLE",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-01",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "DR.0054957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia L Evans-Lombe, LMT
• Kaitlyn Nicole Evans, DPT
• Garrett Allen Ewing, DPT
• Expansive Self Psychotherapy, LLC
• Sterling Dill Fabinski, LCSW, LAC
• Breana Lynn Fair
• Julianne Fair
• Family Solutions Counseling
• Judine Lynn Farley, RN, LAC, MSTCM
• James M Farrell, D.C.

• Urology Physician in Golden, CO
• Providers in Golden, CO by specialty
• Urology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.

Verify at the official NPI Registry.