Organization Active NPI

Colorado Physician Partners, PLLC

  • Family Medicine Physician
  • Centennial, CO
National Provider Identifier
1376140137
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COLORADO PHYSICIAN PARTNERS, PLLC
Practice address
7960 S University Blvd Ste 203
Centennial, CO 80122-3167
Phone
(720) 344-2680
Fax
(720) 344-2681
NPI assigned
Oct 5, 2020
Last updated
Apr 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Jeffrey A Amundson, MDNPI 1477524056
Title
Chairman
Phone
(303) 237-2779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7960 S University Blvd Ste 203
Centennial, CO 80122-3167

Mailing address

205 S Garrison St
Lakewood, CO 80226-2843
Phone (720) 728-5170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190123002593 CO Part B Supplier - Clinic/Group Practice 5991042301 Receives reassigned benefits from 42 practitioners
1 other NPI on this enrollment
Practice locations: Centennial, CO; Denver, CO; Lakewood, CO; Littleton, CO; Thornton, CO

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

7920 S University Blvd
Ste 203
Centennial, CO 80122

205 S Garrison St
Lakewood, CO 80226
Phone (303) 237-2779

205 S Garrison St
Ste B
Lakewood, CO 80226
Phone (303) 237-2779

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1376140137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S GARRISON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262843",
            "telephone_number": "720-728-5170",
            "fax_number": "720-866-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 S UNIVERSITY BLVD STE 203",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223167",
            "telephone_number": "720-344-2680",
            "fax_number": "720-344-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PHYSICIAN PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "AMUNDSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "303-237-2779",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.