Individual provider Active NPI

Neil D Smith, PA-C

  • Physician Assistant
  • Thornton, CO
National Provider Identifier
1497814982
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1366 Issued in CO
Practice address
13631 Colorado Blvd
Thornton, CO 80602-7051
Phone
(303) 252-2960
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA58200 CA
Physician Assistant 363A00000X 1366 CO Primary

Addresses

Primary practice location

13631 Colorado Blvd
Thornton, CO 80602-7051

Mailing address

380 Empire Rd
Suite 200
Lafayette, CO 80026-2677
Phone (303) 926-7360

Other practice location 1

4610 S Ulster St Ste 150
Denver, CO 80237-4326
Phone (888) 803-3370

Other identifiers 1

IdentifierTypeStateIssuer
08734747MedicaidCO

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000270 CO Practitioner - Physician Assistant 0042289647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1100 E Prospect Rd
BLDG a
Fort Collins, CO 80525-5304
Phone (970) 297-6630

1106 E Prospect Rd
Building B Suite 100
Fort Collins, CO 80525-5304
Phone (970) 495-7410

1159 Eagle Dr
Urgent Care Eagle Drive
Loveland, CO 80537-8020
Phone (970) 219-5223

13631 Colorado Blvd
Thornton, CO 80602-7051
Phone (303) 252-2960

15240 W 64TH Ave
Uchmg Primary/Urgent Care Arvada West
Arvada, CO 80007-7511
Phone (303) 463-7181

2101 Main St
Longmont, CO 80501-1406
Phone (720) 745-8020

2127 E Harmony Rd
Suite 140 Uchmg Harmony Urgent Care
Fort Collins, CO 80528-3406
Phone (970) 297-6250

221 E 29TH St
Loveland, CO 80538-2746

2819 35TH Ave
Greeley, CO 80634-9421
Phone (970) 652-2801

2970 Arapahoe Rd
Lafayette, CO 80026-8054
Phone (303) 460-6010

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

5965 Firestone Blvd
Firestone, CO 80504-6607
Phone (303) 678-4340

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1366COMDMental Health Counselor
PA58200CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Oct 28, 2019 Accepting new patients
Uchealth Community Services Past Accepting new patients
Pain Partners MD LLC Past Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients

Locations

15240 W 64th Ave
Arvada, CO 80007
Phone (303) 463-7180

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

5589 Argonne St
Denver, CO 80249
Phone (303) 371-0330

4660 Yosemite St
Ste 100
Denver, CO 80238
Phone (720) 516-8900

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

5965 Firestone Blvd
Firestone, CO 80504
Phone (720) 652-7055

5965 Firestone Blvd
Bldg B
Firestone, CO 80504
Phone (720) 652-7055

2127 E Harmony Rd
Ste 140
Fort Collins, CO 80528
Phone (970) 207-4800

5881 W 16th St
Ste A
Greeley, CO 80634
Phone (970) 652-2447

9475 S University Blvd
Highlands Ranch, CO 80126
Phone (303) 470-4061

4846 Larimer Pkwy
Bldg 1
Johnstown, CO 80534
Phone (970) 624-2830

2970 Arapahoe Rd
Lafayette, CO 80026
Phone (303) 460-6010

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

2101 Main St
Longmont, CO 80501
Phone (720) 745-8020

1159 Eagle Dr
Loveland, CO 80537
Phone (970) 219-5223

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

221 E 29th St
Ste 102
Loveland, CO 80538
Phone (970) 224-3636

13631 Colorado Blvd
Thornton, CO 80602
Phone (303) 252-2960

Interoperability endpoints

  • Direct secure messaging: nsmith274911@direct.metrohealth.org

Organizations & group practices 6

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

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1497814982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 EMPIRE RD",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262677",
            "telephone_number": "303-926-7360",
            "fax_number": "303-926-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13631 COLORADO BLVD",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027051",
            "telephone_number": "303-252-2960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4610 S Ulster St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802374326",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NEIL",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA58200",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08734747",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.