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Individual provider Active NPI

Michael Mousselli

  • Orthopaedic Surgery of the Spine Physician
  • Thornton, CO
National Provider Identifier
1568082352
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
DR.0071585 Issued in CO
Practice address
9005 Grant St Ste 200
Thornton, CO 80229-4384
Phone
(303) 287-2800
Fax
(303) 287-7357
NPI assigned
Apr 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 20A20856 CA
Orthopaedic Surgery of the Spine Physician 207XS0117X DR.0071585 CO Primary

Addresses

Primary practice location

9005 Grant St Ste 200
Thornton, CO 80229-4384

Mailing address

9005 Grant St Ste 200
Thornton, CO 80229-4384
Phone (303) 287-2800

Other practice location 1

5555 Reservoir Dr Ste 104
San Diego, CA 92120-5198
Phone (619) 286-9480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250610003562 CO Practitioner - Orthopedic Surgery 2567972342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
College of Osteo Med of the Pacific at Pomona, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Spine and Orthopedics IncGroup PAC ID 1951292119, 29 clinicians

Practice addresses (Care Compare)

9005 Grant St
Suite 100
Thornton, CO 80229-4384
Phone (303) 287-2800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Spinal fusion114
Laminectomy or laminotomy (partial removal of spine bones)37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A20856CAMDOrthopaedic Surgery Physician
DR.0071585COMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Spine and Orthopedics Inc Orthopaedic Surgery CurrentSince Aug 1, 2025 Accepting new patients

Locations

9005 Grant St
Ste 200
Thornton, CO 80229
Phone (303) 287-2800

9005 Grant St
Ste 100
Thornton, CO 80229
Phone (303) 287-2800

Interoperability endpoints

  • Direct secure messaging: michael.mousselli.1@9093.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9093/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1568082352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 GRANT ST STE 200",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294384",
            "telephone_number": "303-287-2800",
            "fax_number": "303-287-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 GRANT ST STE 200",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294384",
            "telephone_number": "303-287-2800",
            "fax_number": "303-287-7357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Reservoir Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921205198",
            "country_code": "US",
            "telephone_number": "619-286-9480",
            "fax_number": "619-797-1944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSSELLI",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A20856",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CO",
            "license": "DR.0071585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.