NPIMap

Organization Active NPI

Colorado Pain Practice, LLC

Doing business as Colorado Pain Care

  • Pain Medicine (Anesthesiology) Physician
  • Denver, CO
National Provider Identifier
1407481740
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
COLORADO PAIN PRACTICE, LLC
Doing business as
Colorado Pain Care
Practice address
1355 S Colorado Blvd Ste 700
Denver, CO 80222-3325
Phone
(303) 277-0700
Fax
(303) 277-0714
NPI assigned
Mar 6, 2020
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Robert Z MoghimNPI 1245282862
Title
Owner/Physician
Phone
(303) 888-2219

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
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

1355 S Colorado Blvd Ste 700
Denver, CO 80222-3325

Mailing address

1355 S Colorado Blvd Ste 700
Denver, CO 80222-3325
Phone (303) 277-0700

Other names 1

  • Colorado Pain Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170324000399 CO Part B Supplier - Clinic/Group Practice 6709161292 Receives reassigned benefits from 31 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Castle Rock, CO; Denver, CO; Lakewood, CO; Loveland, CO

Other NPIs on the same Medicare enrollment 5

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2135220Colorado Pain Practice PLLC1355 South Colorado Blvd Ste 700, Denver, CO 80222RegistrationJul 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Colorado Pain Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1407481740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S COLORADO BLVD STE 700",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223325",
            "telephone_number": "303-277-0700",
            "fax_number": "303-277-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S COLORADO BLVD STE 700",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223325",
            "telephone_number": "303-277-0700",
            "fax_number": "303-277-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PAIN PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "MOGHIM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "303-888-2219"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Pain Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorado Pain Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.