Organization Active NPI

Green Mountain Partners for Health PLLC

  • Internal Medicine Physician
  • Lakewood, CO
National Provider Identifier
1316330368
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR0050120 Issued in CO
Legal business name
GREEN MOUNTAIN PARTNERS FOR HEALTH PLLC
Practice address
200 Union Blvd
Suite 311
Lakewood, CO 80228-1830
Phone
(303) 566-7170
Fax
(303) 566-7172
NPI assigned
Mar 16, 2015
Last updated
Apr 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
James T Boyd, MDNPI 1720254204
Title
MD/Owner
Phone
(303) 566-7170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR0050120 CO Primary

Addresses

Primary practice location

200 Union Blvd
Suite 311
Lakewood, CO 80228-1830

Mailing address

200 Union
Suite 311
Lakewood, CO 80228-1831
Phone (303) 566-7170

Other identifiers 1

IdentifierTypeStateIssuer
36987263MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150529002441 CO Part B Supplier - Clinic/Group Practice 9436470648 Receives reassigned benefits from 9 practitioners
Practice locations: Lakewood, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2111930Green Mountain Partners for Health200 Union Blvd, Ste 311, Lakewood, CO 80228Certificate of waiverFeb 5, 2028

National Provider Directory

National Provider Directory

Locations

50 S Steele St
Ste 250
Denver, CO 80209
Phone (720) 449-2499

200 Union Blvd
Ste 311
Lakewood, CO 80228
Phone (303) 566-7170

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1316330368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNION",
            "address_2": "SUITE 311",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281831",
            "telephone_number": "303-566-7170",
            "fax_number": "303-566-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNION BLVD",
            "address_2": "SUITE 311",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281830",
            "telephone_number": "303-566-7170",
            "fax_number": "303-566-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN PARTNERS FOR HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "303-566-7170",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR0050120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36987263",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.