Active NPI
Steven F. Podgorski
- Ophthalmology Physician
- Englewood, CO
National Provider Identifier
1578758637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25807
- Practice address
- 601 E Hampden
Suite 490
Englewood, CO 80113-2799 - Phone
- (720) 524-1001
- Fax
- (303) 788-6995
- NPI assigned
- Sep 12, 2007
- Last updated
- Mar 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25807 | CO | Primary |
Addresses
Primary practice location
601 E Hampden
Suite 490
Englewood, CO 80113-2799
Mailing address
3900 E Mexico Ave
Ste 102
Denver, CO 80210-3940
Phone (720) 524-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25807 | CO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mile High Retina, PLLC | Ophthalmology | Current | Accepting new patients |
Locations
4999 E Kentucky Ave
Ste 200
Denver, CO 80246
Phone (303) 691-0777
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Englewood, CO
- NPI 1992817274
-
- Ophthalmology Physician
- Denver, CO
- NPI 1235728189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1578758637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 E MEXICO AVE",
"address_2": "STE 102",
"city": "DENVER",
"state": "CO",
"postal_code": "802103940",
"telephone_number": "720-524-1001",
"fax_number": "303-788-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E HAMPDEN",
"address_2": "SUITE 490",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132799",
"telephone_number": "720-524-1001",
"fax_number": "303-788-6995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODGORSKI",
"first_name": "STEVEN",
"middle_name": "F.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-12",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "25807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.