NPIMap

Organization Active NPI

Colorado Cancer Care LLC

  • Hematology & Oncology Physician
  • Englewood, CO
National Provider Identifier
1235289554
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
23836 Issued in CO
Legal business name
COLORADO CANCER CARE LLC
Practice address
3601 S Clarkson St Ste 520
Englewood, CO 80113-3949
Phone
(303) 346-7777
Fax
(303) 346-7778
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Dr. Raul Alvarez, M.D.
Title
Medical Director
Phone
(303) 346-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 23836 CO Primary

Addresses

Primary practice location

3601 S Clarkson St Ste 520
Englewood, CO 80113-3949

Mailing address

3601 S Clarkson St Ste 520
Englewood, CO 80113-3949
Phone (303) 346-7777

Other identifiers 3

IdentifierTypeStateIssuer
0123869MedicaidCO
105350700MedicaidWY
65551346MedicaidCO

Other names 1

  • Colorado Blood & Cancer Care Doing business as

National Provider Directory

National Provider Directory

Locations

701 E Hampden Ave
Ste 532
Englewood, CO 80113
Phone (303) 346-7777

Practitioners & affiliated clinicians

Practitioners 5

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1235289554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST STE 520",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133949",
            "telephone_number": "303-346-7777",
            "fax_number": "303-346-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST STE 520",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133949",
            "telephone_number": "303-346-7777",
            "fax_number": "303-346-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO CANCER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "303-346-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "23836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123869",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105350700",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65551346",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Blood & Cancer Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorado Blood & Cancer Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.