NPIMap

Individual provider Active NPI

Jason R. Sims, DO

  • Family Medicine Physician
  • Golden, CO
National Provider Identifier
1396777223
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0039834 Issued in CO
Practice address
1823 Ford St.
Golden, CO 80401
Phone
(303) 279-7844
Fax
(303) 279-6937
NPI assigned
Jul 7, 2006
Last updated
Jan 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0039834 CO Primary

Addresses

Primary practice location

1823 Ford St.
Golden, CO 80401

Mailing address

1707 Cole Blvd.
Ste #100
Golden, CO 80401
Phone (303) 716-8018

Other identifiers 3

IdentifierTypeStateIssuer
34082280MedicaidCO
80189809OtherCORAILROAD MEDICARE
SI660032OtherCOBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031112000123 CO Practitioner - Family Practice 3577476845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conifer Medical Center, PCGroup PAC ID 4789676131, 16 clinicians

Practice addresses (Care Compare)

26659 Pleasant Park Rd
Conifer, CO 80433-7768
Phone (303) 647-5300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New West Physicians Inc Family Medicine CurrentSince Jun 25, 2022 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince May 1, 2016 Accepting new patients
Portercare Adventist Health System CurrentSince May 1, 2016 Accepting new patients
Conifer Medical Center, PC Family Medicine Past Accepting new patients

Locations

7950 Kipling St
Ste 101
Arvada, CO 80005
Phone (303) 425-4680

1100 Carson Ave
La Junta, CO 81050
Phone (719) 383-6000

1100 Carson Ave
Ste 203
La Junta, CO 81050
Phone (719) 383-6425

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

1707 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 233-8295

10789 Bradford Rd
Ste 150
Littleton, CO 80127
Phone (303) 738-2714

7720 S Broadway
Ste 250
Littleton, CO 80122
Phone (720) 922-6240

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1396777223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 COLE BLVD.",
            "address_2": "STE #100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-716-8018",
            "fax_number": "303-763-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 FORD ST.",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-279-7844",
            "fax_number": "303-279-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "JASON",
        "middle_name": "R.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0039834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34082280",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "80189809",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "SI660032",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.