NPIMap

Organization Active NPI

Coal Creek Family Medicine LLC

  • Family Medicine Physician
  • Louisville, CO
National Provider Identifier
1194697458
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COAL CREEK FAMILY MEDICINE LLC
Practice address
1044 S 88TH St Ste 200
Louisville, CO 80027-9445
Phone
(303) 666-7119
Fax
(303) 666-5995
NPI assigned
Sep 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Lief Sorensen, MDNPI 1770639452
Title
Cmo
Phone
(303) 673-1280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1044 S 88TH St Ste 200
Louisville, CO 80027-9445

Mailing address

1044 S 88TH St Ste 200
Louisville, CO 80027-9445
Phone (303) 666-7119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260121004025 CO Part B Supplier - Clinic/Group Practice 3072090018 Receives reassigned benefits from 8 practitioners
Practice locations: Louisville, CO

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1194697458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 S 88TH ST STE 200",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279445",
            "telephone_number": "303-666-7119",
            "fax_number": "303-666-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 S 88TH ST STE 200",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279445",
            "telephone_number": "303-666-7119",
            "fax_number": "303-666-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAL CREEK FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "LIEF",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "303-673-1280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.