Individual provider Active NPI

Steven F. Podgorski

  • Ophthalmology Physician
  • Englewood, CO
National Provider Identifier
1578758637
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25807 Issued in CO
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
25807COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Retina, PLLC Ophthalmology CurrentSince Jan 1, 2021 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.

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.

Verify at the official NPI Registry.