NPIMap

Organization Active NPI

Colorado Retina Associates, PLLC

  • Ophthalmology Physician
  • Denver, CO
National Provider Identifier
1487359485
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
COLORADO RETINA ASSOCIATES, PLLC
Practice address
55 Madison St Ste 300
Denver, CO 80206-5421
Phone
(303) 261-1600
Fax
(303) 261-1601
NPI assigned
Mar 31, 2023
Organization subpart
Yes
Parent organization
COLORADO RETINA ASSOCIATES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Kylie Espinoza
Title
Credentialing Specialist
Phone
(303) 261-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

55 Madison St Ste 300
Denver, CO 80206-5421

Mailing address

PO Box 736996
Dallas, TX 75373-6996
Phone (303) 261-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070125000355 CO Part B Supplier - Clinic/Group Practice 6002817566 Receives reassigned benefits from 15 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Denver, CO; Parker, CO; Littleton, CO; Lakewood, CO; Lafayette, CO; Golden, CO; Frisco, CO; Englewood, CO

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Tax ID family
Colorado Retina Associates PLLC9 organizations share this tax ID, including this one
Part of
Colorado Retina Associates PLLC

Other organizations with this tax ID 8

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1487359485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736996",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753736996",
            "telephone_number": "303-261-1600",
            "fax_number": "303-261-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MADISON ST STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065421",
            "telephone_number": "303-261-1600",
            "fax_number": "303-261-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO RETINA ASSOCIATES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO RETINA ASSOCIATES, PLLC",
        "enumeration_date": "2023-03-31",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "303-261-1600"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 2, 2024; 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.