NPIMap

Individual provider Active NPI

Mordechai Ferris Twena, M.D.

  • Surgery Physician
  • Fort Collins, CO
National Provider Identifier
1114982618
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
CDR.0004169 Issued in CO
Practice address
3665 John F Kennedy Pkwy
Fort Collins, CO 80525-3152
Phone
(800) 991-6117
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X CDR.0004169 CO
Surgery Physician 208600000X 27566 AZ
Surgery Physician 208600000X CDR.0004169 CO Primary

Addresses

Primary practice location

3665 John F Kennedy Pkwy
Fort Collins, CO 80525-3152

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117

Other practice location 1

5659 E Grant Rd
Tucson, AZ 85712-2211
Phone (520) 731-3317

Other identifiers 5

IdentifierTypeStateIssuer
770002185OtherAZRAIL ROAD MEDICARE
1Z4750OtherAZHEALTH NET
473512MedicaidAZ
770002185OtherAZEVERCARE PROVIDER NUMBER
AZ0847420OtherAZBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050404000996 AZ Practitioner - General SurgeryPractitioner - Vascular Surgery 0244287035 Practice locations: Tucson, AZ
I20240906003474 CO Practitioner - General Surgery 0244287035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Medical Group PLLCGroup PAC ID 5890091409, 11 clinicians

Practice addresses (Care Compare)

3665 John F Kennedy Pkwy
Suite 200
Fort Collins, CO 80525-3152
Phone (813) 961-1331

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CDR.0004169COMDPhlebology Physician
27566AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Medical Group, PLLC Surgery CurrentSince Aug 1, 2024 Accepting new patients
Colorado Medical Group, PLLC Surgery Past Accepting new patients
Tucson Vein Institute LLC Past Accepting new patients
Craig G Gross MD PC Past Accepting new patients
Arizona Community Surgeons PC Surgery PastSince Aug 1, 2006 Accepting new patients
Institute for Family Wellness Inc Past Accepting new patients
Colorado Medical Group, PLLC Surgery Past Accepting new patients
Colorado Medical Group, PLLC Surgery PastSince Oct 1, 2020 Accepting new patients
Colorado Medical Group, PLLC Past Accepting new patients
Illinois Uvc Medical PLLC Surgery PastSince Feb 23, 2025 Accepting new patients

Locations

5657 S Himalaya St
Ste 210
Centennial, CO 80015

6979 S Holly Cir
Ste 125
Centennial, CO 80112

3535 S Lafayette St
Ste 100
Englewood, CO 80113
Phone (303) 761-7800

3665 John F Kennedy Pkwy
Bldg 200
Fort Collins, CO 80525

6179 S Balsam Way
Ste 200
Littleton, CO 80123
Phone (303) 933-2555

1551 Professional Ln
Unit 241
Longmont, CO 80501

9195 Grant St
Ste 300
Thornton, CO 80229
Phone (303) 280-2229

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

3810 Northdale Blvd
Ste 260
Tampa, FL 33624

3810 Northdale Blvd
Ste 150
Tampa, FL 33624
Phone (813) 683-4784

Interoperability endpoints

  • Direct secure messaging: mordechai.twena@uvvc.eclinicaldirectplus.com

Organizations & group practices 10

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1114982618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "800-991-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 JOHN F KENNEDY PKWY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253152",
            "telephone_number": "800-991-6117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5659 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122211",
            "country_code": "US",
            "telephone_number": "520-731-3317",
            "fax_number": "520-731-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TWENA",
        "first_name": "MORDECHAI",
        "middle_name": "FERRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "CO",
            "license": "CDR.0004169",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "27566",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "CDR.0004169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "770002185",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1Z4750",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473512",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE PROVIDER NUMBER",
            "identifier": "770002185",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0847420",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.