Individual provider Active NPI

Petr Vitkovskiy, MD

  • Psychiatry Physician
  • Aurora, CO
National Provider Identifier
1467077875
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR.0072917 Issued in CO
Practice address
1890 N Revere CT Ste 5242
Aurora, CO 80045-7464
Phone
(720) 848-0000
NPI assigned
Jun 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DR.0072917 CO Primary

Addresses

Primary practice location

1890 N Revere CT Ste 5242
Aurora, CO 80045-7464

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

750 W Hampden Ave Ste 350
Englewood, CO 80110-2233
Phone (303) 872-1734

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822001229 CO Practitioner - Psychiatry 5597204529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Stanford University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

13402 W Coal Mine Ave
Suite 110
Littleton, CO 80127-5408
Phone (303) 248-7894

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0072917COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Psychiatry CurrentSince Sep 23, 2024 Accepting new patients
Family Care Center, LLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

4700 Castleton Way
Ste 200
Castle Rock, CO 80109

9362 Grand Cordera Pkwy
Ste 100
Colorado Springs, CO 80924
Phone (719) 345-0429

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

2860 S Circle Dr
Fl 4
Colorado Springs, CO 80906
Phone (719) 540-2146

2860 S Circle Dr
Ste 310
Colorado Springs, CO 80906

9524 Federal Dr
Ste 120
Colorado Springs, CO 80921
Phone (719) 394-3352

6566 N Marksheffel Rd
#100
Colorado Springs, CO 80923
Phone (719) 297-7646

3715 Parkmoor Village Dr
Ste 102
Colorado Springs, CO 80917
Phone (719) 540-2127

4660 Yosemite St
Ste 201
Denver, CO 80238
Phone (303) 872-1740

63 N Quebec St
Ste 201
Denver, CO 80230
Phone (303) 248-7897

1525 Raleigh St
Ste 500
Denver, CO 80204
Phone (303) 872-1735

750 W Hampden Ave
Ste 350
Englewood, CO 80110
Phone (303) 872-1734

3351 Eastbrook Dr
Ste 200
Fort Collins, CO 80525
Phone (970) 500-0164

350 Indiana St
Ste 300
Golden, CO 80401
Phone (303) 248-7899

9135 Ridgeline Blvd
Ste 160
Highlands Ranch, CO 80129
Phone (303) 800-6093

13402 W Coal Mine Ave
Ste 110
Littleton, CO 80127
Phone (303) 248-7894

10535 Park Meadows Blvd
Ste 200
Lone Tree, CO 80124
Phone (303) 228-8958

363 Centennial Pkwy
Ste 220
Louisville, CO 80027
Phone (303) 879-9074

1880 Fall River Dr
Ste 250
Loveland, CO 80538
Phone (970) 775-8626

11990 Grant St
Ste 101
Northglenn, CO 80233
Phone (303) 537-8152

10120 Twenty Mile Rd
Ste 100
Parker, CO 80134
Phone (303) 228-8871

471 S Baldwin St
Ste 200
Woodland Park, CO 80863

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1467077875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 N REVERE CT STE 5242",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457464",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 W Hampden Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801102233",
            "country_code": "US",
            "telephone_number": "303-872-1734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITKOVSKIY",
        "first_name": "PETR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0072917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.