NPIMap

Individual provider Active NPI

Vikas Thouti Reddy, M.D.

  • Family Medicine Physician
  • Parker, CO
National Provider Identifier
1295099596
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0057927 Issued in CO
Practice address
12230 Lioness Way
Parker, CO 80134
Phone
(720) 644-9355
NPI assigned
Jul 2, 2012
Last updated
Sep 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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 DR.0057927 CO Primary

Addresses

Primary practice location

12230 Lioness Way
Parker, CO 80134

Mailing address

12230 Lioness Way
Parker, CO 80134-5603
Phone (720) 644-9355

Other practice location 1

3875 Bay Rd
Ste 2N
Saginaw, MI 48603-2417
Phone (989) 583-5300

Other practice location 2

5023 W 120th Ave Ste 312
Broomfield, CO 80020-5606
Phone (720) 644-9355

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
I20171006002907 CO Practitioner - Family Practice 6709197866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Consultants PLLCGroup PAC ID 0547589517, 78 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

12230 Lioness Way
Parker, CO 80134-5603
Phone (720) 644-9355

22 S Adams St
Denver, CO 80209-2908
Phone (303) 321-2452

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0057927COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Consultants PLLC CurrentSince May 1, 2018 Accepting new patients
Healthone Carenow Urgent Care, LLC Family Medicine CurrentSince Dec 13, 2020 Accepting new patients
Summit Medical Consultants Aco Prof LLC CurrentSince Aug 26, 2023 Accepting new patients
Careconnectmd Colorado Inc. Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Constitution Nursing and Rehabilitation Center LLC Past Accepting new patients
1111 Bonforte Opco, LLC Past Accepting new patients
Steel City Healthcare, Inc. Past Accepting new patients
SNH Co Tenant LLC Past Accepting new patients
Bijou Healthcare LLC Past Accepting new patients
Highland Park Rehabilitation & Care Center LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

5620 S Parker Rd
Aurora, CO 80015
Phone (720) 446-5890

5023 W 120th Ave
Broomfield, CO 80020
Phone (720) 500-2250

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

9250 E Costilla Ave
Ste 540
Greenwood Village, CO 80112
Phone (720) 591-4688

12230 Lioness Way
Parker, CO 80134
Phone (720) 214-7777

Ownership & related parties

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Brookdale SkylineColorado Springs, CO, CCN 065382 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 22, 2025
Sep 24, 2025
Brookdale Greenwood VillageGreenwood Village, CO, CCN 065376 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 22, 2025
Sep 26, 2025
The Pavilion at Villa PuebloPueblo, CO, CCN 065121 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 4, 2024
Dec 4, 2024
Rock Canyon Respiratory and Rehabilitation CenterPueblo, CO, CCN 065100 Skilled nursing facility Managing Control - Governing Body
Adp of the SNF		 Jul 29, 2020
Jun 28, 2025
Highline Post AcuteDenver, CO, CCN 065256 Skilled nursing facility Contracted Managing Employee Feb 1, 2023
Atlas Post AcutePueblo, CO, CCN 065232 Skilled nursing facility Contracted Managing Employee Jul 21, 2023
Highland Park Rehabilitation & Care CenterAurora, CO, CCN 065176 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2024
Jun 1, 2024
Lakeshore Post Acute and Rehabilitation CenterPueblo, CO, CCN 065229 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Sep 1, 2024
Sep 1, 2024
Sep 1, 2024
Colonial Rehabilitation and Nursing LLCColorado Springs, CO, CCN 065225 Skilled nursing facility Adp of the SNF Jan 23, 2025
Falcon Heights Rehabilitation and NursingColorado Springs, CO, CCN 065168 Skilled nursing facility Adp of the SNF Jan 23, 2025
Creekside Village Health and RehabFort Collins, CO, CCN 065221 Skilled nursing facility Adp of the SNF Jan 23, 2025
Cottonwood Healthcare LLCColorado Springs, CO, CCN 065172 Skilled nursing facility Adp of the SNF Jan 23, 2026
Oxford BankColorado Springs, CO, CCN 065175 Skilled nursing facility Adp of the SNF Nov 24, 2025

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1295099596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12230 LIONESS WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345603",
            "telephone_number": "720-644-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 LIONESS WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "720-644-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3875 Bay Rd",
            "address_2": "Ste 2N",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486032417",
            "country_code": "US",
            "telephone_number": "989-583-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5023 W 120th Ave Ste 312",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800205606",
            "country_code": "US",
            "telephone_number": "720-644-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "VIKAS",
        "middle_name": "THOUTI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0057927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.