Individual provider Active NPI

Christian O Updike, MD

  • Family Medicine Physician
  • Aurora, CO
National Provider Identifier
1336109743
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39176 Issued in CO
Practice address
12401 E 17TH Ave Ste 783
Aurora, CO 80045-2548
Phone
(855) 945-2548
NPI assigned
Mar 28, 2006
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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 39176 CO Primary

Addresses

Primary practice location

12401 E 17TH Ave Ste 783
Aurora, CO 80045-2548

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Other practice location 1

1600 Mid Valley Dr Unit A
Steamboat Springs, CO 80487-9006
Phone (855) 945-3668

Other practice location 2

15235 E 38th Ave
Aurora, CO 80011-1239
Phone (303) 340-3053

Other identifiers 1

IdentifierTypeStateIssuer
99733331MedicaidCO

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
I20090527000483 CO Practitioner - Family Practice 7113076985 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39176COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Yampa Valley Medical Center CurrentSince Jul 19, 2021 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 2, 2021 Accepting new patients
Yampa Valley Medical Center Current Accepting new patients
Yampa Valley Medical Center CurrentSince Jul 19, 2021 Accepting new patients
Southside Emergency Associates Past Accepting new patients
Premier Urgent Care P.C. Past Accepting new patients
Inpatient Consultants of Colorado, PC Family Medicine Past Accepting new patients
Inpatient Consultants of Colorado PC Family Medicine Past Accepting new patients

Locations

12401 E 17th Ave
Ste 783
Aurora, CO 80045
Phone (855) 945-2548

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Unit 101
Castle Rock, CO 80104
Phone (720) 733-5260

2773 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 365-6478

4660 Yosemite St
Ste 100
Denver, CO 80238
Phone (720) 516-8900

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

15854 Jackson Creek Pkwy
Unit 120
Monument, CO 80132
Phone (719) 364-9930

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

1600 Mid Valley Dr
Unit A
Steamboat Springs, CO 80487
Phone (855) 945-3668

13631 Colorado Blvd
Thornton, CO 80602
Phone (303) 252-2960

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1336109743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 E 17TH AVE STE 783",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452548",
            "telephone_number": "855-945-2548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Mid Valley Dr Unit A",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804879006",
            "country_code": "US",
            "telephone_number": "855-945-3668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15235 E 38th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800111239",
            "country_code": "US",
            "telephone_number": "303-340-3053",
            "fax_number": "303-340-3862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPDIKE",
        "first_name": "CHRISTIAN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2021-08-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99733331",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.