Organization Active NPI

C.J. Tsamasfyros, M.D. LLC

  • Legal Medicine
  • Denver, CO
National Provider Identifier
1427293471
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
17165 Issued in CO
Legal business name
C.J. TSAMASFYROS, M.D. LLC
Practice address
4500 E 9TH Ave
Suite 220
Denver, CO 80220-3912
Phone
(303) 322-2005
Fax
(303) 322-4408
NPI assigned
Dec 4, 2008
Last updated
Apr 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Constantine J Tsamasfyros, MDNPI 1114989332
Title
Manager
Phone
(303) 322-2005

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 17165 CO
Legal Medicine 173000000X 17165 CO Primary

Addresses

Primary practice location

4500 E 9TH Ave
Suite 220
Denver, CO 80220-3912

Mailing address

4500 E 9TH Ave
Suite 220
Denver, CO 80220-3912
Phone (303) 322-2005

Other identifiers 3

IdentifierTypeStateIssuer
1171651MedicaidCO
17165OtherCO LICENSE
D23206OtherCOUPIN

Other names 1

  • Colorado Family Medicine PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090914000770 CO Part B Supplier - Clinic/Group Practice 8426104506 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

4500 E 9th Ave
Ste 220
Denver, CO 80220
Phone (303) 322-2005

4500 E 9th Ave
Ste 740
Denver, CO 80220
Phone (303) 320-6530

Practitioners & affiliated clinicians

Practitioners 1

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": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1427293471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "address_2": "SUITE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203912",
            "telephone_number": "303-322-2005",
            "fax_number": "303-322-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "address_2": "SUITE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203912",
            "telephone_number": "303-322-2005",
            "fax_number": "303-322-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.J. TSAMASFYROS, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "TSAMASFYROS",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-322-2005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "17165",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CO",
            "license": "17165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1171651",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO LICENSE",
            "identifier": "17165",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "D23206",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Family Medicine PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 27, 2017; 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.