Individual provider Active NPI

Mark Sarinopoulos, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Broomfield, CO
National Provider Identifier
1356370191
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
38117 Issued in CO
Practice address
1420 W Midway Blvd
Broomfield, CO 80020-2090
Phone
(303) 466-1866
Fax
(303) 466-4081
NPI assigned
Jul 2, 2006
Last updated
Oct 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38117 CO
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 38117 CO Primary

Addresses

Primary practice location

1420 W Midway Blvd
Broomfield, CO 80020-2090

Mailing address

198 W Sycamore LN
Louisville, CO 80027-2234
Phone (303) 358-6329

Other identifiers 2

IdentifierTypeStateIssuer
75129728MedicaidCO
SA549988OtherCOBC/BS

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
I20031119000568 CO Practitioner - Family PracticePractitioner - Hospice/Palliative Care 5991619256 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38117COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Home Health Care, Inc CurrentSince Jan 4, 2016 Accepting new patients
Northern Medical Associates Family Medicine CurrentSince Oct 1, 2003 Accepting new patients
The Boulder Hospice Family Medicine CurrentSince Mar 29, 2023 Accepting new patients

Locations

75 Manhattan Dr
Ste 1
Boulder, CO 80303
Phone (303) 442-5683

1420 W Midway Blvd
Broomfield, CO 80020
Phone (303) 466-1866

8120 Sheridan Blvd
Ste 304A
Westminster, CO 80003
Phone (303) 427-5302

Interoperability endpoints

  • Direct secure messaging: e.sarinopoulosmd.p45@direct.ipn.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trail Winds HospiceBoulder, CO, CCN 061602 Hospice W-2 Managing Employee Jan 13, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1356370191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 W SYCAMORE LN",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272234",
            "telephone_number": "303-358-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W MIDWAY BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202090",
            "telephone_number": "303-466-1866",
            "fax_number": "303-466-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARINOPOULOS",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "38117",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "38117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75129728",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "SA549988",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.