NPIMap

Individual provider Active NPI

Jacob Oppenheimer, M.D.

  • Urology Physician
  • Lakewood, CO
National Provider Identifier
1164877809
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
DR.0066746 Issued in CO
Practice address
255 S Routt St Ste 420
Lakewood, CO 80228-2271
Phone
(303) 985-2550
NPI assigned
May 2, 2016
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X DR.0066746 CO Primary

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

2150 Pennsylvania Ave, NW
The GW Medical Faculty Associates
Washington, DC 20037
Phone (202) 741-3000

Other practice location 2

3455 Lutheran Pkwy Ste 210
Wheat Ridge, CO 80033-6040
Phone (303) 695-6106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630003742 CO Practitioner - Urology 2567863368 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 2365346558, 58 clinicians

Practice addresses (Care Compare)

255 S Routt St
Suite 420
Lakewood, CO 80228-2271
Phone (303) 985-2550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology, PLLC Urology CurrentSince Jul 1, 2021 Accepting new patients
Kit Carson County Health Services District CurrentSince Apr 29, 2024 Accepting new patients
Kit Carson County Health Services District CurrentSince Dec 1, 2025 Accepting new patients
Advanced Urology, PLLC Urology CurrentSince Jul 1, 2021 Accepting new patients
Foothills Urology, PC Urology Current Accepting new patients
Kit Carson County Health Services District CurrentSince Apr 29, 2024 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

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

Interoperability endpoints

  • Direct secure messaging: jacoboppenheimer@fu.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1164877809",
    "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": "410-581-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S ROUTT ST STE 420",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282271",
            "telephone_number": "303-985-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Pennsylvania Ave, NW",
            "address_2": "The GW Medical Faculty Associates",
            "address_purpose": "LOCATION",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20037",
            "country_code": "US",
            "telephone_number": "202-741-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3455 Lutheran Pkwy Ste 210",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800336040",
            "country_code": "US",
            "telephone_number": "303-695-6106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPPENHEIMER",
        "first_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "DR.0066746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.