NPIMap

Organization Active NPI

Rocky Mountain Vein Institute, PLLC

Doing business as American Vein & Vascular

  • Vascular & Interventional Radiology Physician
  • Northglenn, CO
National Provider Identifier
1366042095
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
ROCKY MOUNTAIN VEIN INSTITUTE, PLLC
Doing business as
American Vein & Vascular
Practice address
11150 Huron St Ste 212
Northglenn, CO 80234-4378
Phone
(303) 457-6710
Fax
(719) 545-1829
NPI assigned
Oct 30, 2020
Last updated
Oct 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Gordon F GibbsNPI 1417929373
Title
Owner/Authorized Rep
Phone
(719) 543-8346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NU Primary

Addresses

Primary practice location

11150 Huron St Ste 212
Northglenn, CO 80234-4378

Mailing address

PO Box 7702
Loveland, CO 80537-0702
Phone (970) 663-2742

Other names 1

  • American Vein & Vascular Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100211000128 CO Part B Supplier - Clinic/Group Practice 8325181431 Receives reassigned benefits from 26 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Thornton, CO; Pueblo, CO; Parker, CO; Lakewood, CO; Johnstown, CO; Fort Collins, CO; Edwards, CO; Colorado Springs, CO…

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1366042095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7702",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370702",
            "telephone_number": "970-663-2742",
            "fax_number": "970-342-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 HURON ST STE 212",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344378",
            "telephone_number": "303-457-6710",
            "fax_number": "719-545-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN VEIN INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED REP",
        "authorized_official_telephone_number": "719-543-8346"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Vein & Vascular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.