NPIMap

Individual provider Active NPI

Johnathan Puhalla

  • Physician Assistant
  • Greenwood Village, CO
National Provider Identifier
1306570361
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0008315 Issued in CO
Practice address
7100 E Belleview Ave Ste G10
Greenwood Village, CO 80111-1634
Phone
(303) 745-0000
Fax
(303) 773-3675
NPI assigned
Jul 14, 2022
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0008315 CO Primary

Addresses

Primary practice location

7100 E Belleview Ave Ste G10
Greenwood Village, CO 80111-1634

Mailing address

7100 E Belleview Ave Ste G10
Greenwood Village, CO 80111-1634
Phone (303) 745-0000

Other practice location 1

8155 Piney River Ave Ste 230
Littleton, CO 80125-8730
Phone (720) 689-9744

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
I20240125004259 CO Practitioner - Physician Assistant 3678926698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Critical Care and Pulmonary Consultants, P.C.Group PAC ID 7315851953, 151 clinicians

Practice addresses (Care Compare)

7100 E Belleview Ave
Suite G10
Greenwood Village, CO 80111-1634
Phone (303) 745-0000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Philippe G Lopez MD PC CurrentSince Jun 16, 2024 Accepting new patients

Locations

5200 Dtc Pkwy
Ste 400
Greenwood Village, CO 80111
Phone (303) 745-0000

7100 E Belleview Ave
Ste G10
Greenwood Village, CO 80111
Phone (303) 745-0000

Organizations & group practices 2

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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1306570361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 E BELLEVIEW AVE STE G10",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111634",
            "telephone_number": "303-745-0000",
            "fax_number": "303-773-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 E BELLEVIEW AVE STE G10",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111634",
            "telephone_number": "303-745-0000",
            "fax_number": "303-773-3675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8155 Piney River Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801258730",
            "country_code": "US",
            "telephone_number": "720-689-9744",
            "fax_number": "866-575-7616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUHALLA",
        "first_name": "JOHNATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.