Individual provider Active NPI

Jeffrey J Warren, MD

  • Internal Medicine Physician
  • Thornton, CO
National Provider Identifier
1316140627
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125050254 Issued in IL
Practice address
8451 Pearl St
Thornton, CO 80229
Phone
(303) 286-5129
NPI assigned
Jun 6, 2007
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125050254 IL Primary

Addresses

Primary practice location

8451 Pearl St
Thornton, CO 80229

Mailing address

5571 Dunraven CT
Golden, CO 80403-2071
Phone (720) 442-6220

Other practice location 1

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2000

Other identifiers 3

IdentifierTypeStateIssuer
809840OtherILMEDICARE GROUP #
CA4079OtherILRR MEDICARE GROUP PTAN
P00617110OtherILRR MEDICARE MEMBER PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000046 CO Practitioner - Internal Medicine 6002987666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
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

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
69.26
Improvement activities
40
Cost
69.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125050254ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care & Pulmonary Consultants, PC CurrentSince Oct 1, 2024 Accepting new patients
Inpatient Services, PC Internal Medicine CurrentSince Jan 28, 2010 Accepting new patients
Inpatient Services, PC Internal Medicine CurrentSince Jan 28, 2010 Accepting new patients
Philippe G Lopez MD PC CurrentSince Oct 1, 2024 Accepting new patients
Vibra Hospital of Denver LLC Past Accepting new patients

Locations

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

8451 Pearl St
Thornton, CO 80229
Phone (303) 227-9981

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

Organizations & group practices 5

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 1

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1316140627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5571 DUNRAVEN CT",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804032071",
            "telephone_number": "720-442-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8451 PEARL ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80229",
            "telephone_number": "303-286-5129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 NE Glen Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616370001",
            "country_code": "US",
            "telephone_number": "309-655-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125050254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "809840",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP PTAN",
            "identifier": "CA4079",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE MEMBER PTAN",
            "identifier": "P00617110",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.