Jacob Oppenheimer, M.D.
Individual provider Active NPI Urology Physician · Lakewood, CO
NPI 1164877809 · NPPES record last updated Jun 3, 2025
Key facts
- NPI
- 1164877809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- DR.0066746 (CO)
- Practice address
- 255 S Routt St Ste 420
Lakewood, CO 80228-2271 - Phone
- (303) 985-2550
- NPI assigned
- May 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Urology
- Education
- University of Texas Medical School at San Antonio, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advanced Urology PLLC
Practice addresses (Care Compare)
255 S Routt St
Suite 420
Lakewood, CO 80228-2271
Phone (303) 985-2550
Hospital & facility affiliations
- Centura Health-St Anthony Hospital
- Kit Carson County Memorial Hospital
- Intermountain Health Lutheran Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 19 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210630003742 | CO | Practitioner - Urology | 2567863368 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0066746 | CO | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kit Carson County Health Services District | Current |
Accepting new patients | |
| Advanced Urology, PLLC | Urology | Current |
Accepting new patients |
| Advanced Urology, PLLC | Urology | Current |
Accepting new patients |
| Foothills Urology, PC | Urology | Current | Accepting new patients |
| Kit Carson County Health Services District | Current |
Accepting new patients | |
| Kit Carson County Health Services District | Current |
Accepting new patients | |
| Advanced Urology, PLLC | Urology | Current | Accepting new patients |
Locations
286 16th St
Burlington, CO 80807
Phone (719) 346-5311
32135 Castle Ct
Ste 101
Evergreen, CO 80439
Phone (303) 679-8500
255 S Routt St
Ste 420
Lakewood, CO 80228
Phone (303) 985-2550
3455 Lutheran Pkwy
Ste 210
Wheat Ridge, CO 80033
Phone (303) 403-6580
25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681
10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117
Interoperability endpoints
- jacoboppenheimer@fu.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | DR.0066746 | CO | Yes |
Addresses
Primary practice location
255 S Routt St Ste 420
Lakewood, CO 80228-2271
Mailing address
10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (410) 581-1600
Other practice location 1
3455 Lutheran Pkwy Ste 210
Wheat Ridge, CO 80033-6040
Phone (303) 695-6106
Other practice location 2
2150 Pennsylvania Ave, NW
The GW Medical Faculty Associates
Washington, DC 20037
Phone (202) 741-3000
Other providers in Lakewood, CO
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- Ann Christine Opderbecke Obermann
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- Open Bionics Inc
- Open Cadence Therapy, P.C.
- Optic Dimension, PLLC
- Optimal Edema Solutions LLC
- Optumcare Colorado Medical Group LLC
- Optumcare Colorado Medical Group LLC
- Optumcare Colorado Medical Group LLC
All providers in Lakewood, CO · Urology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.