Active NPI
Egor Pakhomov
- Family Medicine Physician
- Longmont, CO
National Provider Identifier
1184588873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0938471
- Practice address
- 5617 Cottontail Dr
Longmont, CO 80503-9529 - Phone
- (510) 766-4362
- NPI assigned
- Dec 16, 2025
- Sex
- Male
- 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 | DR.0938471 | CO | Primary |
Addresses
Primary practice location
5617 Cottontail Dr
Longmont, CO 80503-9529
Mailing address
5617 Cottontail Dr
Longmont, CO 80503-9529
Phone (510) 766-4362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0938471 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1184588873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5617 COTTONTAIL DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805039529",
"telephone_number": "510-766-4362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5617 COTTONTAIL DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805039529",
"telephone_number": "510-766-4362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAKHOMOV",
"first_name": "EGOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-16",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0938471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.