NPIMap

Individual provider Active NPI

Robert Z Moghim, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Golden, CO
National Provider Identifier
1245282862
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
DR0039871 Issued in CO
Practice address
755 Heritage Rd
Suite 100
Golden, CO 80401-3600
Phone
(303) 277-0700
NPI assigned
May 16, 2006
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X DR0039871 CO Primary

Addresses

Primary practice location

755 Heritage Rd
Suite 100
Golden, CO 80401-3600

Mailing address

755 Heritage Rd Ste 100
Golden, CO 80401-3600
Phone (303) 277-0700

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
I20130712000632 CO Practitioner - AnesthesiologyPractitioner - Pain Management 1153398409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Tennessee, HSC, College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Pain Practice PLLCGroup PAC ID 6709161292, 15 clinicians

Practice addresses (Care Compare)

1189 S Perry St
Suite 230
Castle Rock, CO 80104-1959
Phone (303) 468-7246

12596 W Bayaud Ave
Suite 350
Lakewood, CO 80228-2019
Phone (303) 468-7246

1355 S Colorado Blvd
Suite 700
Denver, CO 80222-3325
Phone (303) 468-7246

2696 S Colorado Blvd
Suite 240
Denver, CO 80222-5948
Phone (303) 468-7246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0039871COMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Pain Practice, PLLC Pain Medicine CurrentSince Feb 15, 2017 Accepting new patients
Colorado Pain Practice, PLLC Pain Medicine CurrentSince Jul 1, 2016 Accepting new patients
Colorado Pain Practice, PLLC Pain Medicine Past Accepting new patients
Central California Anesthesia & Pain Management Associates Anesthesiology Past Accepting new patients
Colorado Pain Care, LLC Pain Medicine Past Accepting new patients
Intermountain Front Range, Inc. Past Accepting new patients
Red Rocks Center for Rehabilitation Past Accepting new patients
Colorado Pain Practice, LLC Pain Medicine Past Accepting new patients

Locations

4348 Woodlands Blvd
Ste 100
Castle Rock, CO 80104
Phone (303) 468-7246

2696 S Colorado Blvd
Ste 240
Denver, CO 80222
Phone (210) 213-4444

755 Heritage Rd
Ste 100
Golden, CO 80401
Phone (303) 277-0700

12596 W Bayaud Ave
Ste 350
Lakewood, CO 80228
Phone (303) 468-7246

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1245282862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 HERITAGE RD STE 100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013600",
            "telephone_number": "303-277-0700",
            "fax_number": "303-277-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 HERITAGE RD",
            "address_2": "SUITE 100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013600",
            "telephone_number": "303-277-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHIM",
        "first_name": "ROBERT",
        "middle_name": "Z",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "DR0039871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.