Organization Active NPI

Longmont Pulmonary and Critical Care Associates, PC

  • Pulmonary Disease Physician
  • Longmont, CO
National Provider Identifier
1215028543
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
LONGMONT PULMONARY AND CRITICAL CARE ASSOCIATES, PC
Practice address
1551 Professional LN Unit 235
Longmont, CO 80501-6967
Phone
(303) 651-5302
Fax
(303) 651-5303
NPI assigned
Sep 28, 2006
Last updated
Dec 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
John L Hutchison
Title
Practice Manager
Phone
(303) 801-0129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X Primary

Addresses

Primary practice location

1551 Professional LN Unit 235
Longmont, CO 80501-6967

Mailing address

1551 Professional LN Unit 235
Longmont, CO 80501-6967
Phone (303) 651-5302

Other identifiers 1

IdentifierTypeStateIssuer
36335037MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040402000861 CO Part B Supplier - Clinic/Group Practice 5597757906 Receives reassigned benefits from 2 practitioners
Practice locations: Longmont, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1023368Longmont Pulmonary and Critical Care1551 Professional Lane, Suite 235, Longmont, CO 80501Certificate of waiverMar 14, 2028

National Provider Directory

National Provider Directory

Locations

9085 E Mineral Cir
Ste 110
Centennial, CO 80112
Phone (303) 801-0129

1551 Professional Ln
Unit 235
Longmont, CO 80501
Phone (303) 651-5302

2030 Mountain View Ave
Ste 250
Longmont, CO 80501
Phone (303) 485-4243

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1215028543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN UNIT 235",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016967",
            "telephone_number": "303-651-5302",
            "fax_number": "303-651-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN UNIT 235",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016967",
            "telephone_number": "303-651-5302",
            "fax_number": "303-651-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGMONT PULMONARY AND CRITICAL CARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "HUTCHISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "303-801-0129"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36335037",
            "state": "CO"
        }
    ],
    "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 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.