NPIMap

Individual provider Active NPI

Randolph Pinto, M.D.

  • Family Medicine Physician
  • Louisville, CO
National Provider Identifier
1285619411
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28256 Issued in CO
Practice address
80 Health Park Dr
Suite 100
Louisville, CO 80027-9584
Phone
(303) 666-2710
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28256 CO Primary

Addresses

Primary practice location

80 Health Park Dr
Suite 100
Louisville, CO 80027-9584

Mailing address

80 Health Park Dr
Suite 100
Louisville, CO 80027-9584
Phone (303) 666-2710

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
I20100427000761 CO Practitioner - Family Practice 1951438738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Medical Center, PCGroup PAC ID 4183536204, 86 clinicians

Practice addresses (Care Compare)

2750 Broadway St
Boulder, CO 80304-3573
Phone (303) 440-3000

80 Health Park Dr
Suite 100
Louisville, CO 80027-4644
Phone (303) 673-0448

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions27
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28256COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Medical Center, P.C. Current Accepting new patients
Boulder Medical Center, P.C. CurrentSince Jul 9, 1987 Accepting new patients
Boulder Medical Center, P.C. CurrentSince Jul 9, 1987 Accepting new patients
Medical Center Pharmacy Inc Past Accepting new patients

Locations

2750 Broadway St
Boulder, CO 80304
Phone (303) 440-3000

80 Health Park Dr
Ste 100
Louisville, CO 80027
Phone (303) 665-1045

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 77

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1285619411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HEALTH PARK DR",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279584",
            "telephone_number": "303-666-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HEALTH PARK DR",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279584",
            "telephone_number": "303-666-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTO",
        "first_name": "RANDOLPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "28256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.