Individual provider Active NPI

Thomas J Lally, MD

  • Internal Medicine Physician
  • Lakewood, CO
National Provider Identifier
1568438653
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0041971 Issued in CO
Practice address
12600 W Colfax Ave Ste B200
Lakewood, CO 80215-3736
Phone
(303) 993-1330
Fax
(303) 284-4082
NPI assigned
Feb 27, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0041971 CO Primary
Emergency Medicine Physician 207P00000X 41971 CO

Addresses

Primary practice location

12600 W Colfax Ave Ste B200
Lakewood, CO 80215-3736

Mailing address

12600 W Colfax Ave Ste B200
Lakewood, CO 80215-3736
Phone (303) 993-1330

Other identifiers 2

IdentifierTypeStateIssuer
16108272MedicaidCO
C526618OtherCOMEDICARE PTAN

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
I20040205000779 CO Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Preventive Medicine 2466354717 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41971COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Housecalls LLC Internal Medicine CurrentSince Oct 19, 2005 Accepting new patients
Bloom Physician Housecalls PA Current Accepting new patients
Critical Care Pulmonary and Sleep Associates Professional LLP Internal Medicine PastSince Jul 1, 2002 Accepting new patients
Critical Care Pulmonary and Sleep Associates Professional LLP PastSince Jun 8, 2025 Accepting new patients
Toh Inc PastSince Feb 21, 2000 Accepting new patients

Locations

12600 W Colfax Ave
Ste B200
Lakewood, CO 80215
Phone (303) 459-4000

10900 W 44th Ave
Unit 200
Wheat Ridge, CO 80033
Phone (303) 379-9371

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CICGBD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bloom Hospice LLCLakewood, CO, CCN 061618 Hospice 5% Or Greater Indirect Ownership Interest (20%) Nov 1, 2021
Bloom HospiceSan Antonio, TX, CCN A91752 Hospice 5% Or Greater Indirect Ownership Interest (19.6%)
Other (25%)
Aug 2, 2024
Aug 2, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1568438653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 W COLFAX AVE STE B200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802153736",
            "telephone_number": "303-993-1330",
            "fax_number": "303-284-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 W COLFAX AVE STE B200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802153736",
            "telephone_number": "303-993-1330",
            "fax_number": "303-284-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLY",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0041971",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "41971",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16108272",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C526618",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.