Individual provider Active NPI

Christopher W Pergrem, M.D.

  • Emergency Medicine Physician
  • Golden, CO
National Provider Identifier
1336126408
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
39044 Issued in CO
Practice address
12911 W 40TH Ave
Golden, CO 80401-2696
Phone
(303) 425-4500
NPI assigned
Dec 29, 2005
Last updated
Dec 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 39044 CO Primary
Emergency Medicine Physician 207P00000X 36395 KY

Addresses

Primary practice location

12911 W 40TH Ave
Golden, CO 80401-2696

Mailing address

4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (855) 687-0618

Other identifiers 1

IdentifierTypeStateIssuer
73105031MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KY, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101122000853 CO Practitioner - Emergency Medicine 5597951194 Reassigns benefits to 4 organizations
I20150107002382 KY Practitioner - Emergency Medicine 5597951194 Reassigns benefits to 3 organizations
I20170810001835 IN Practitioner - Emergency Medicine 5597951194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Louisville School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3280 S Wadsworth Blvd
Lakewood, CO 80227-5002
Phone (303) 649-3620

7000 E Hampden Ave
Denver, CO 80224-3012
Phone (330) 925-4199

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36395KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group, Inc CurrentSince Jan 27, 2022 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Jan 27, 2022 Accepting new patients
Kentucky Em-I Medical Services PSC Emergency Medicine CurrentSince Aug 18, 2022 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Concord Company of Tennessee PLLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Jan 1, 2023 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Kentucky Em-I Medical Services PSC Emergency Medicine CurrentSince Aug 18, 2022 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Quantum Plus LLC Emergency Medicine Past Accepting new patients
Usacs of Colorado Inc Emergency Medicine Past Accepting new patients

Locations

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

4943 State Highway 52
Ste 100
Erie, CO 80514
Phone (303) 925-4840

760 Warner Dr
Golden, CO 80401
Phone (303) 925-4360

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

3280 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 649-3620

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

9670 W Coal Mine Ave
Ste 100
Littleton, CO 80123
Phone (303) 725-5010

9949 S Oswego St
Parker, CO 80134
Phone (303) 925-4700

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409

Interoperability endpoints

  • Direct secure messaging: cpergrem67617@direct.kdhealth.us

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 10

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1336126408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "855-687-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 W 40TH AVE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012696",
            "telephone_number": "303-425-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERGREM",
        "first_name": "CHRISTOPHER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "39044",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "36395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73105031",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.