NPIMap

Individual provider Active NPI

Harlan Duane Harclerode Jr., DO

  • Internal Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1316966781
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27785 Issued in CO
Practice address
2222 N. Nevada Ave
Suite 4001
Colorado Springs, CO 80907
Phone
(719) 636-9393
Fax
(719) 636-9087
NPI assigned
Jul 18, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 27785 CO Primary

Addresses

Primary practice location

2222 N. Nevada Ave
Suite 4001
Colorado Springs, CO 80907

Mailing address

2 South Cascade Ave
Suite 140
Colorado Springs, CO 80903
Phone (719) 538-2960

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
I20050726000543 CO Practitioner - Internal Medicine 6204734015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4593

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.9 of 100Reported as group
Quality
79.21
Promoting interoperability
99
Improvement activities
40
Cost
77.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27785COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Aug 1, 2015 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Aug 1, 2015 Accepting new patients
Sterling Hospitalists of Colorado, LLC Internal Medicine Past Accepting new patients
Academic Medicine Past Accepting new patients
North Colorado Medical Center Past Accepting new patients
Kenneth H Weisiger MD PC Internal Medicine Past Accepting new patients

Locations

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

Organizations & group practices 6

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316966781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SOUTH CASCADE AVE",
            "address_2": "SUITE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80903",
            "telephone_number": "719-538-2960",
            "fax_number": "719-538-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N. NEVADA AVE",
            "address_2": "SUITE 4001",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80907",
            "telephone_number": "719-636-9393",
            "fax_number": "719-636-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARCLERODE",
        "first_name": "HARLAN",
        "middle_name": "DUANE",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "27785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.