Advanced Urology, PLLC
Organization Active NPI Urology Physician · Englewood, CO
NPI 1386448835 · NPPES record last updated May 1, 2025
Key facts
- NPI
- 1386448835
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- ADVANCED UROLOGY, PLLC
- Practice address
- 799 E Hampden Ave Ste 310
Englewood, CO 80113-2766 - Phone
- (000) 000-0000
- NPI assigned
- Apr 3, 2025
- Organization subpart
- No
Authorized official
- Name
- John Kefer, MD
- Title
- Ao
- Phone
- (303) 666-4343
Other NPIs on the same Medicare enrollment 16
Corporate family (same tax ID) 12
Member organizations 4
Practitioners 60
-
Kelly Walker Brown, MD, MBA
-
Linnea K Butler, PA-C
-
David J Cahn, MD
-
Henry Donald Chu, MD
-
James Emit Clark, MD
-
Kimberly Marie Dufraux, MS, DNP, NP-C, RN
-
Nadia Erdmann, CRNP
-
Thomas M Facelle, MD
-
Nancy A Huff, M.D.
-
James S Jacobs, MD
-
Camtu L Jones, M.D.
-
John Christopher Kefer, MD PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031120000238 | CO | Part B Supplier - Clinic/Group Practice | 2365346558 |
Receives reassigned benefits from 92 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wheat Ridge, CO; Westminster, CO; Superior, CO; Louisville, CO; Castle Rock, CO; Longmont, CO; Lone Tree, CO; Lakewood, CO… |
National Provider Directory
- Tax ID family
- Advanced Urology PC
Locations
2030 Mountain View Ave
Ste 420
Longmont, CO 80501
Phone (303) 776-9400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes |
Addresses
Primary practice location
799 E Hampden Ave Ste 310
Englewood, CO 80113-2766
Mailing address
10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (443) 471-5783
Other providers in Englewood, CO
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- Admhn
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- Advanced Oral & Maxillofacial Surgery
- Advanced Pain and Anesthesia Services, PC
- Advantage Surgical LLC
- Advocacy ABA LLC
- Rakan Nassim Adwan
- Jillian Rebecca Aeder
- Affinity Dental Arts, PLLC
All providers in Englewood, CO · Urology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.