Individual provider Active NPI

Max Mitchell, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Denver, CO
National Provider Identifier
1154340602
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
31202 Issued in CO
Practice address
2055 N High St Ste 260
Denver, CO 80205-5575
Phone
(720) 475-8730
Fax
(303) 832-7297
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 31202 CO Primary

Addresses

Primary practice location

2055 N High St Ste 260
Denver, CO 80205-5575

Mailing address

2055 N High St Ste 260
Denver, CO 80205-5575
Phone (720) 475-8730

Other identifiers 1

IdentifierTypeStateIssuer
01312024MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806000087 CO Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Pediatric MedicinePractitioner - Cardiac Surgery 4082686589

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31202COMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated Current Accepting new patients
Children'S Hospital Colorado Current Accepting new patients
Healthone Clinic Services - Pediatric Specialties LLC CurrentSince Jun 15, 2025 Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

1601 E 19th Ave
Ste 3500
Denver, CO 80218
Phone (303) 790-1515

2055 N High St
Ste 260
Denver, CO 80205
Phone (720) 475-8730

2055 N High St
Ste 370
Denver, CO 80205

Dept 1061
Denver, CO 80256

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: max.mitchell@hca3.eclinicaldirectplus.com
  • Direct secure messaging: mmitchell14585@direct.childrenscolorado.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1154340602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 N HIGH ST STE 260",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055575",
            "telephone_number": "720-475-8730",
            "fax_number": "303-832-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N HIGH ST STE 260",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055575",
            "telephone_number": "720-475-8730",
            "fax_number": "303-832-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MAX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CO",
            "license": "31202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01312024",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.