NPIMap

Organization Active NPI

Children's Hospital Colorado

Doing business as Children's Colorado - Health Pavilion

  • Children's Hospital
  • Aurora, CO
National Provider Identifier
1376104125
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
Legal business name
CHILDREN'S HOSPITAL COLORADO
Doing business as
Children's Colorado - Health Pavilion
Practice address
860 N Potomac Cir.
Aurora, CO 80011-6750
Phone
(720) 777-1234
NPI assigned
Jun 24, 2019
Last updated
Aug 27, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITAL COLORADOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Linda Michael
Title
VP, Chief Compliance Officer
Phone
(720) 777-6537

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Multi-Specialty Clinic/Center 261QM1300X
Children's Hospital 282NC2000X Primary
Pharmacy 333600000X

Addresses

Primary practice location

860 N Potomac Cir.
Aurora, CO 80011-6750

Mailing address

13123 E 16TH Ave # B450
Aurora, CO 80045-7106
Phone (720) 777-1234

Other names 1

  • Children's Colorado - Health Pavilion Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031117000573 CO Part A Provider - Hospital 3274447925 14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Highlands Ranch, CO; Wheat Ridge, CO; Denver, CO; Centennial, CO; Broomfield, CO; Aurora, CO
O20151006000071 CO Part B Supplier - Clinic/Group Practice 3274447925 Receives reassigned benefits from 1 practitioner
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aurora, CO; Colorado Springs, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376104125. Details of each certification follow.

Hospital certification: CCN 063301

Legal name
CHILDREN'S HOSPITAL COLORADO
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Jan 1, 1984
Last certification
Nov 3, 2023
Beds
468
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 9, 1908 in CO
Enrollment address
13123 E. 16TH Ave.
Aurora, CO 80045-7106
Other Hospital Practice Location
Hospital subgroups
Children’s

Other NPIs on the same Medicare enrollment 22

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

View all 22

Care Compare: Hospital

Medicare Care Compare
Listed as
Children's Hospital ColoradoCCN 063301 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
The Children's Hospital Aurora Co55 organizations share this tax ID, including this one
Part of
The Children's Hospital Aurora Co

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Honeyfield Individual Corporate DirectorImmediate Past Chair Apr 24, 2024
Jena J Hausmann Individual Corporate OfficerPresident & Chief Executive Officer May 1, 2015
Yvonne Camacho Individual Corporate DirectorTreasurer Apr 23, 2026
Victoria Quintana Individual Corporate DirectorChair Apr 25, 2024
Patrick Terrence O'Rourke Individual Corporate OfficerChief Legal Officer/Secretary Jan 6, 2025
Scott Morrison Individual Corporate DirectorChair Elect Apr 25, 2024
Jeffrey Harrington Individual Corporate OfficerChief Financial Officer & Senior VP May 1, 2005
W-2 Managing EmployeeCfo May 1, 2005

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 129

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 129

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1376104125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13123 E 16TH AVE # B450",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457106",
            "telephone_number": "720-777-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 N POTOMAC CIR.",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116750",
            "telephone_number": "720-777-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL COLORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL COLORADO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "VP, CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "720-777-6537"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Colorado - Health Pavilion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children's Colorado - Health Pavilion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.