Active NPI
Vincenzo Louis Piantanida, PA-C
- Physician Assistant
- Longmont, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5868
- Practice address
- 1610 Dry Creek Dr
Longmont, CO 80503-6405 - Phone
- (303) 772-1600
- Fax
- (303) 772-9317
- NPI assigned
- Dec 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0008063 | CO | |
| Physician Assistant | 363A00000X | 5868 | SC | Primary |
| Surgical Physician Assistant | 363AS0400X | PA.0008063 | CO |
Addresses
Primary practice location
1610 Dry Creek Dr
Longmont, CO 80503-6405
Mailing address
2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-0112
Other practice location 1
2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-0112
Other practice location 2
1625 Hospital Dr Ste 350
MT Pleasant, SC 29464-3892
Phone (854) 429-4263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CO, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220628003172 | TX | Practitioner - Physician Assistant | 4486033073 | Reassigns benefits to 1 organization |
| I20230825003575 | CO | Practitioner - Physician Assistant | 4486033073 | Reassigns benefits to 2 organizations |
| I20251204002402 | SC | Practitioner - Physician Assistant | 4486033073 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Poudre Valley Medical Group LLCOrthopaedic and Spine Center of the Rockies PCEast Cooper Physician Group LLC
Practice addresses (Care Compare)
1400 E Boulder
Suite 2410 Pre Procedure Memorial
Colorado Springs, CO 80909-5533
Phone (719) 365-6525
1400 E Boulder St
Colorado Springs, CO 80909-5533
14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-0000
1750 E Ken Pratt Blvd
Longmont, CO 80504-5311
Phone (720) 718-7000
1950 Mountain View Ave
Longmont, CO 80501-3129
Phone (303) 651-5111
200 Exempla Cir
Lafayette, CO 80026-3370
Phone (303) 689-4000
2420 E Prospect Rd
Fort Collins MRI
Fort Collins, CO 80525-9718
Phone (970) 493-0567
2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-4010
4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260
880 Island Park Dr
Unit 230
Daniel Island, SC 29492-2902
Phone (843) 380-9330
Hospital & facility affiliations
- Good Samaritan Medical Center LLC
- Novant Health East Cooper Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5868 | SC | MD | Physician Assistant |
| PA.0008063 | CO | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Cooper Physician Group LLC | Current | Accepting new patients | |
| East Cooper Physician Group LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| East Cooper Physician Group LLC | Current | Accepting new patients | |
| Star Orthopedics and Sports Medicine PLLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
175 S Union Blvd
Ste 310
Colorado Springs, CO 80910
Phone (719) 365-6363
880 Island Park Dr
Unit 230
Daniel Island, SC 29492
Phone (843) 380-9330
1625 Hospital Dr
Ste 350
Mt Pleasant, SC 29464
Phone (843) 856-3262
851 Leonard Fulghum Dr
Ste 101
Mt Pleasant, SC 29464
Phone (843) 884-2133
5550 Warren Pkwy
Ste 200
Frisco, TX 75034
Phone (469) 850-0680
Organizations & group practices 9
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.
-
- Orthopaedic Surgery Physician
- Fort Collins, CO
- NPI 1770579385
CO
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Body Imaging Physician
- Mt Pleasant, SC
- NPI 1699641571
-
- Orthopaedic Surgery Physician
- Frisco, TX
- NPI 1891200168
TX
-
- Multi-Specialty Clinic/Center
- Fort Collins, CO
- NPI 1437145794
-
- Orthopaedic Surgery Physician
- Mt Pleasant, SC
- NPI 1508637208
-
- Orthopaedic Surgery Physician
- Coppell, TX
- NPI 1033939863
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, CO
- NPI 1407845035
Hospital
-
- General Acute Care Hospital
- Mount Pleasant, SC
- NPI 1841069044
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763769600000",
"number": "1609534098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 E PROSPECT RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805259718",
"telephone_number": "970-493-0112",
"fax_number": "970-493-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 DRY CREEK DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805036405",
"telephone_number": "303-772-1600",
"fax_number": "303-772-9317"
}
],
"practiceLocations": [
{
"address_1": "2500 E Prospect Rd",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805259718",
"country_code": "US",
"telephone_number": "970-493-0112",
"fax_number": "970-493-1794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1625 Hospital Dr Ste 350",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "SC",
"postal_code": "294643892",
"country_code": "US",
"telephone_number": "854-429-4263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIANTANIDA",
"first_name": "VINCENZO",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-02",
"last_updated": "2025-11-22",
"certification_date": "2025-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0008063",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "5868",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "PA.0008063",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.