NPIMap

Organization Active NPI

Advanced Urology, PLLC

Doing business as Colorado Prostate Cancer Center

  • Urology Physician
  • Greenwood Village, CO
National Provider Identifier
1154903904
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ADVANCED UROLOGY, PLLC
Doing business as
Colorado Prostate Cancer Center
Practice address
5275 DTC Pkwy
Greenwood Village, CO 80111-2772
Phone
(866) 953-3111
Fax
(443) 471-8540
NPI assigned
Apr 22, 2021
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
John Kefer, MD
Title
Director
Phone
(303) 666-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

5275 DTC Pkwy
Greenwood Village, CO 80111-2772

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (866) 953-3111

Other names 1

  • Colorado Prostate Cancer Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000238 CO Part B Supplier - Clinic/Group Practice 2365346558 Receives reassigned benefits from 92 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wheat Ridge, CO; Westminster, CO; Superior, CO; Louisville, CO; Castle Rock, CO; Longmont, CO; Lone Tree, CO; Lakewood, CO…

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Aurora Urology PC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

255 S Routt St
Ste 400
Lakewood, CO 80228

10535 Park Meadows Blvd
Ste 102
Lone Tree, CO 80124
Phone (303) 695-1211

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1154903904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366",
            "telephone_number": "866-953-3111",
            "fax_number": "443-471-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 DTC PKWY",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112772",
            "telephone_number": "866-953-3111",
            "fax_number": "443-471-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED UROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "KEFER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-666-4343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Prostate Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorado Prostate Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.