Mountain Peak Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MOUNTAIN PEAK PRIMARY CARE LLC

Doing business as

Mountain Peak Primary Care

Practice address

9450 E Mississippi Ave Unit B
Denver, CO 80247-2427

Phone

(720) 710-4933

Fax

(720) 710-4746

NPI assigned

Jun 20, 2023

Last updated

Jul 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hadee Ahmadi, NPNPI 1578167144

Title

Family Nurse Practitioner

Phone

(720) 427-5929

Specialties & licenses 1

Addresses

Other names 1

• Mountain Peak Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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

CLIA laboratory certificates

Locations

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.

• Hadee Ahmadi, DNP

  • Family Nurse Practitioner
  • Denver, CO
  • NPI 1578167144
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1447935101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 E MISSISSIPPI AVE UNIT B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472427",
            "telephone_number": "720-710-4933",
            "fax_number": "720-710-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 E MISSISSIPPI AVE UNIT B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472427",
            "telephone_number": "720-710-4933",
            "fax_number": "720-710-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PEAK PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "AHMADI",
        "authorized_official_first_name": "HADEE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "720-427-5929",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Peak Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Peak Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mountain Man Medicine LLC
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• Mountain Mind, LLC
• Mountain Peak Associates LLC (You Can Home Medical)
• Mountain Peak Pediatric Therapy
• Mountain Rheumatology Infusion Center LLC
• Mountain Rheumatology LLC
• Mountain Sleep Diagnostics, Inc (Professional Sleep Services)
• Mountain Smiles - Aspen Dental, PLLC (Aspen Dental)
• Mountain State Holistic Health LLC

• Primary Care Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.