Organization Active NPI

Obstetrix Medical Group of Colorado P C

Doing business as Rocky Mountain Pediatric Cardiology

  • Pediatric Cardiology Physician
  • Denver, CO
National Provider Identifier
1497779276
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
OBSTETRIX MEDICAL GROUP OF COLORADO P C
Doing business as
Rocky Mountain Pediatric Cardiology
Practice address
2055 High Street
Ste 255
Denver, CO 80205-5663
Phone
(303) 860-9933
NPI assigned
Jul 26, 2006
Last updated
Oct 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Linda Chen
Title
Assistant Secretary
Phone
(954) 384-0175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0202X Primary

Addresses

Primary practice location

2055 High Street
Ste 255
Denver, CO 80205-5663

Mailing address

1301 Concord Ter
Sunrise, FL 33323-2843
Phone (954) 384-0175

Other names 1

  • Rocky Mountain Pediatric Cardiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE, WY, KS4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040316001040 CO Part B Supplier - Clinic/Group Practice 6709776651 Receives reassigned benefits from 113 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Englewood, CO; Wheat Ridge, CO; Vail, CO; Louisville, CO; Lone Tree, CO; Littleton, CO; Greeley, CO; Glenwood Springs, CO…
O20080214000393 NE Part B Supplier - Clinic/Group Practice 6709776651 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Scottsbluff, NE
O20160518001378 WY Part B Supplier - Clinic/Group Practice 6709776651 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Casper, WY; Laramie, WY; Lander, WY; Gillette, WY; Douglas, WY; Cheyenne, WY
O20190218002845 KS Part B Supplier - Clinic/Group Practice 6709776651 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 37)

4722 N 24th St
Phoenix, AZ 85016

1455 S Potomac St
Ste 307
Aurora, CO 80012

1501 S Potomac St
Ste 312
Aurora, CO 80012

6965 Tutt Blvd
Ste 310
Colorado Springs, CO 80923

1601 E 19th Ave
Ste 6500
Denver, CO 80218

1719 E 19th Ave
Ste 5050
Denver, CO 80218

1791 E 19TH Ave
Denver, CO 80218

2001 N High St
Denver, CO 80205
Phone (720) 500-4322

2001 N High St
Ste 380
Denver, CO 80205
Phone (720) 754-1000

2055 N High St
Denver, CO 80205
Phone (303) 301-9019

2055 N High St
Ste 210
Denver, CO 80205

2055 N High St
Ste 250
Denver, CO 80205
Phone (303) 839-7440

4500 E 9th Ave
Ste 210
Denver, CO 80220
Phone (303) 320-7101

4500 E 9th Ave
Ste 210S
Denver, CO 80220

4547 E 9TH Ave
Denver, CO 80220

4561 E 9TH Ave
Denver, CO 80220

601 E Hampden Ave
#S250
Englewood, CO 80113
Phone (303) 761-1013

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

4700 S College Ave
Fort Collins, CO 80525

2635 N 7th St
Ste 603
Grand Junction, CO 81501
Phone (303) 226-7459

1801 16th St
Ste C1
Greeley, CO 80631
Phone (970) 810-6070

2000 70th Ave
Greeley, CO 80634
Phone (970) 352-7366

10101 Ridgegate Pkwy
Ste 212
Lone Tree, CO 80124

10103 Ridgegate Pkwy
Ste 122
Lone Tree, CO 80124

10103 Ridgegate Pkwy
Ste 212
Lone Tree, CO 80124
Phone (303) 792-5585

Practitioners & affiliated clinicians

Practitioners 141

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.

View all 141

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1497779276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "954-384-0175",
            "fax_number": "954-851-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 HIGH STREET",
            "address_2": "STE 255",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055663",
            "telephone_number": "303-860-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRIX MEDICAL GROUP OF COLORADO P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "954-384-0175"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Pediatric Cardiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocky Mountain Pediatric Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 23, 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.