Individual provider Active NPI

Patricia Louise Litvak, MD

  • Family Medicine Physician
  • Aurora, CO
National Provider Identifier
1437168465
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29000 Issued in CO
Practice address
3551 Chambers Rd Ste a-D
Aurora, CO 80011-1330
Phone
(303) 375-0649
NPI assigned
Aug 7, 2006
Last updated
Jan 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 29000 CO Primary

Addresses

Primary practice location

3551 Chambers Rd Ste a-D
Aurora, CO 80011-1330

Mailing address

8950 East Lowry Blvd
Innovage Greater Colorado Pace Attn:Gayle Washington
Denver, CO 80230
Phone (303) 486-5504

Other identifiers 1

IdentifierTypeStateIssuer
01290006MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181024002354 CO Order and Referring Only - Family PracticePractitioner - Family Practice 6709837545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29000COMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1437168465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 EAST LOWRY BLVD",
            "address_2": "INNOVAGE GREATER COLORADO PACE ATTN:GAYLE WASHINGTON",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80230",
            "telephone_number": "303-486-5504",
            "fax_number": "303-486-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 CHAMBERS RD STE A-D",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800111330",
            "telephone_number": "303-375-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITVAK",
        "first_name": "PATRICIA",
        "middle_name": "LOUISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "29000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01290006",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.