NPIMap

Catholic Health Initiatives Colorado

Organization Active NPI Family Medicine Physician · Idaho Springs, CO

NPI 1134730757 · NPPES record last updated Jun 25, 2024

Key facts

NPI
1134730757
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CATHOLIC HEALTH INITIATIVES COLORADO
Practice address
1969 Miner Street
Idaho Springs, CO 80452-0000
Phone
(303) 649-3690
Fax
(303) 649-3691
NPI assigned
Aug 17, 2020
Organization subpart
No

Authorized official

Name
Mrs. Angela Jo Skinner
Title
Administrator Oma
Phone
(720) 667-7283

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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  • James Liu, M.D. Maternal & Fetal Medicine Physician · Aurora, CO · NPI 1992156830
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  • Matthew C Loftspring, MD Neurology Physician · Lakewood, CO · NPI 1891134037
    NPD
  • James Merchun, MD Anesthesiology Physician · Greenwood Village, CO · NPI 1104270123
    NPD
  • Kristianna K. Roberts, M.D. Family Medicine Physician · Broomfield, CO · NPI 1790955185
    NPD FAMILY MEDICINE
  • Sylvia Joanna Rozek, M.D. Sports Medicine (Family Medicine) Physician · Durango, CO · NPI 1104071588
    NPD
  • Bridgit V Wedgle Family Nurse Practitioner · Centennial, CO · NPI 1609402817
    NPD FAMILY MEDICINE
  • Kimberly Sierra Balay, M.D. Neonatal-Perinatal Medicine Physician · Rapid City, SD · NPI 1881917078
    NPD FAMILY MEDICINE
  • Sylvester Luu, D.O., FACP Gastroenterology Physician · JB Andrews, MD · NPI 1730542853
    NPD
  • Nathan Poiro Anesthesiology Physician · Philadelphia, PA · NPI 1497021208
    NPD

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2132269Commonspirit Primary Care Idaho Springs
1969 Miner St, Idaho Springs, CO 80452		Certificate of waiverJun 14, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031215000462 CO Part B Supplier - Clinic/Group Practice 8022927342 Receives reassigned benefits from 1,310 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
St Thomas More Centura (319 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

1969 Miner Street
Idaho Springs, CO 80452-0000

Mailing address

PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104

Other names

  • PRID PC IDAHO SPRINGS Doing business as
  • CMG Primary Care Idaho Springs Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 25, 2024.

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1134730757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 MINER STREET",
            "city": "IDAHO SPRINGS",
            "state": "CO",
            "postal_code": "804520000",
            "telephone_number": "303-649-3690",
            "fax_number": "303-649-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATOR OMA",
        "authorized_official_telephone_number": "720-667-7283",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRID PC IDAHO SPRINGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CMG Primary Care Idaho Springs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Idaho Springs, CO

All providers in Idaho Springs, CO · Family Medicine Physician in Colorado

Sources for this page

Verify at the official NPI Registry.