Active NPI
Angelique Genevieve Poturalski, M.D.
- Family Medicine Physician
- Littleton, CO
National Provider Identifier
1144370545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33806
- Practice address
- 7261 S Broadway
Suite 101a
Littleton, CO 80122-8017 - Phone
- (303) 471-2466
- Fax
- (303) 471-6066
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33806 | CO | Primary |
Addresses
Primary practice location
7261 S Broadway
Suite 101a
Littleton, CO 80122-8017
Mailing address
7261 S Broadway
Suite 101a
Littleton, CO 80122-8017
Phone (720) 805-2366
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040505001699 | CO | Practitioner - Family Practice | 2860480951 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Colorado School of Medicine, Denver, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7261 S Broadway
Suite 101 a
Littleton, CO 80122-8017
7261 S Broadway
Suite 101a
Littleton, CO 80122-8018
Phone (303) 471-2466
Hospital & facility affiliations
- Berkley Home Health
- AdventHealth Littleton
- Sky Ridge Medical Center
- AdventHealth Parker
- The Medical Center of Aurora & South Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33806 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Family Care PC | Family Medicine | Current | Accepting new patients |
Locations
3464 S Willow St
Ste 768
Denver, CO 80231
7261 S Broadway
Ste 101
Littleton, CO 80122
Phone (303) 471-2466
7261 S Broadway
Ste 101A
Littleton, CO 80122
Phone (303) 471-2466
Interoperability endpoints
- angelique.poturalski.1@19924.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Littleton, CO
- NPI 1710348818
CO, Family Medicine
Hospital & facility affiliations 22
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Aurora, CO
- NPI 1225135403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1144370545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 S BROADWAY",
"address_2": "SUITE 101A",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801228017",
"telephone_number": "720-805-2366",
"fax_number": "303-471-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7261 S BROADWAY",
"address_2": "SUITE 101A",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801228017",
"telephone_number": "303-471-2466",
"fax_number": "303-471-6066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTURALSKI",
"first_name": "ANGELIQUE",
"middle_name": "GENEVIEVE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "33806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.