NPIMap

Individual provider Active NPI

Michael R Wahl, M.D.

  • Cardiovascular Disease Physician
  • Lakewood, CO
National Provider Identifier
1346237807
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
41599 Issued in CO
Practice address
11700 W 2ND PL
Suite 350
Lakewood, CO 80228-1704
Phone
(303) 595-2727
Fax
(303) 595-2626
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 41599 CO
Cardiovascular Disease Physician 207RC0000X 41599 CO Primary

Addresses

Primary practice location

11700 W 2ND PL
Suite 350
Lakewood, CO 80228-1704

Mailing address

11700 W 2ND PL
Suite 350
Lakewood, CO 80228-1704
Phone (303) 595-2727

Other identifiers 1

IdentifierTypeStateIssuer
84987863MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MICHAEL.WAHL@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250221000897 WY Practitioner - Interventional Cardiology 3476548769 Reassigns benefits to 1 organization
I20251112003615 KS Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 3476548769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Georgetown University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheyenne Regional Physicians Group LLCGroup PAC ID 2961403639, 101 clinicians
Shawnee Mission Medical Center IncGroup PAC ID 9537119037, 282 clinicians

Practice addresses (Care Compare)

4116 Laramie St
Cheyenne, WY 82001-1969
Phone (307) 635-7961

9100 W 74TH St
Ahmg Cardiology at Shawnee Mission
Merriam, KS 66204-4004
Phone (913) 676-2000

Hospital & facility affiliations

  • Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051
  • Community Hospital Hospital, Torrington, WY, CCN 531307

Merit-based Incentive Payment System (MIPS)

Final score
89.45 of 100Reported as individual
Quality
87.7
Promoting interoperability
96
Improvement activities
40
Cost
72.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41599COMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Current Accepting new patients
Cheyenne Regional Physicians Group, LLC CurrentSince Apr 4, 2025 Accepting new patients
Shawnee Mission Medical Center Inc CurrentSince Aug 30, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Apr 29, 2025 Accepting new patients
Catholic Health Initiatives Colorado Cardiovascular Disease CurrentSince Apr 29, 2025 Accepting new patients
Healthone Heart Care LLC Cardiovascular Disease Past Accepting new patients
Rose Interpretation Group Cardiovascular Disease Past Accepting new patients
Regional Ekg Interpretation Group Cardiovascular Disease Past Accepting new patients
Heart and Lung Institute of Utah Inc Cardiovascular Disease PastSince Apr 29, 2025 Accepting new patients
Parker Ekg Interpretation LLP Cardiovascular Disease Past Accepting new patients
Skyridge Ekg Interpretation Professional LLP Cardiovascular Disease Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1 Mercado St
Ste 130
Durango, CO 81301
Phone (970) 247-1120

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

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

2301 House Ave
Ste 301
Cheyenne, WY 82001
Phone (307) 637-1600

4116 Laramie St
Cheyenne, WY 82001
Phone (307) 634-9311

Interoperability endpoints

  • Direct secure messaging: michael.wahl@hca3.eclinicaldirectplus.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1346237807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 W 2ND PL",
            "address_2": "SUITE 350",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281704",
            "telephone_number": "303-595-2727",
            "fax_number": "303-595-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 W 2ND PL",
            "address_2": "SUITE 350",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281704",
            "telephone_number": "303-595-2727",
            "fax_number": "303-595-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CO",
            "license": "41599",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "41599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84987863",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MICHAEL.WAHL@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "11700 W 2nd Pl",
            "address_2": "SUITE 350",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802281704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.