Individual provider Active NPI

Matthew James Parker, MD

  • General Practice Physician
  • Westminster, CO
National Provider Identifier
1528529047
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DR.0069561 Issued in CO
Practice address
12071 Tejon St Ste 300
Westminster, CO 80234-2320
Phone
(720) 702-0600
Fax
(303) 648-5877
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X DR.0069561 CO Primary

Addresses

Primary practice location

12071 Tejon St Ste 300
Westminster, CO 80234-2320

Mailing address

12071 Tejon St Ste 300
Westminster, CO 80234-2320
Phone (720) 702-0600

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
I20190624002816 CO Order and Referring Only - Family PracticePractitioner - Family Practice 2668706789

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Injury Treatment Center, LLC CurrentSince Jan 22, 2023 Accepting new patients

Locations

12071 Tejon St
Ste 300
Westminster, CO 80234
Phone (720) 702-0600

Organizations & group practices 1

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1528529047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12071 TEJON ST STE 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342320",
            "telephone_number": "720-702-0600",
            "fax_number": "303-648-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12071 TEJON ST STE 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342320",
            "telephone_number": "720-702-0600",
            "fax_number": "303-648-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "DR.0069561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.