NPIMap

Organization Active NPI

Western Nephrology & Metabolic Bone Disease, P.C.

  • Nephrology Physician
  • Arvada, CO
National Provider Identifier
1619088176
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
WESTERN NEPHROLOGY & METABOLIC BONE DISEASE, P.C.
Practice address
5265 Vance Street
Suite 200
Arvada, CO 80002
Phone
(303) 232-3366
Fax
(303) 232-8734
NPI assigned
Aug 31, 2006
Last updated
Sep 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Chermaine Sheyko, CFFO
Title
Cffo
Phone
(303) 456-5495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

5265 Vance Street
Suite 200
Arvada, CO 80002

Mailing address

4891 Independence Street
Suite 120
Wheat Ridge, CO 80033-6713
Phone (303) 456-5495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421001404 CO Part B Supplier - Clinic/Group Practice 2264428622 Receives reassigned benefits from 34 practitioners
Practice locations: Westminster, CO; Longmont, CO; Lafayette, CO; Arvada, CO; Lakewood, CO

National Provider Directory

National Provider Directory

Member organizations 11

Organizations listed as members of this organization in the National Provider Directory.

Locations

1155 Alpine Ave
Ste 260
Boulder, CO 80304
Phone (303) 440-0444

2880 Folsom St
Boulder, CO 80304
Phone (303) 440-4200

3101 Summit View Dr
Dacono, CO 80514
Phone (303) 925-4150

2655 Crescent Dr
Ste D
Lafayette, CO 80026
Phone (303) 443-4200

11700 W 2nd Pl
Ste 345
Lakewood, CO 80228
Phone (303) 232-3366

1750 Pierce St
Lakewood, CO 80214
Phone (303) 232-3366

2 W Dry Creek Cir
Ste 240
Littleton, CO 80120
Phone (303) 232-3366

5992 Iris Pkwy
Longmont, CO 80504
Phone (303) 430-7000

8800 Fox Dr
Thornton, CO 80260
Phone (303) 430-7000

8410 Decatur St
Ste 100
Westminster, CO 80031
Phone (303) 430-7000

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1619088176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4891 INDEPENDENCE STREET",
            "address_2": "SUITE 120",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336713",
            "telephone_number": "303-456-5495",
            "fax_number": "303-456-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 VANCE STREET",
            "address_2": "SUITE 200",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80002",
            "telephone_number": "303-232-3366",
            "fax_number": "303-232-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEPHROLOGY & METABOLIC BONE DISEASE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "SHEYKO",
        "authorized_official_first_name": "CHERMAINE",
        "authorized_official_title_or_position": "CFFO",
        "authorized_official_telephone_number": "303-456-5495",
        "authorized_official_credential": "CFFO"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.