Individual provider Active NPI

Robert V Michael, M.D.

  • Family Medicine Physician
  • Evergreen, CO
National Provider Identifier
1629224183
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51723 Issued in CO
Practice address
32214 Ellingwood TRL
Suite 210
Evergreen, CO 80439-9719
Phone
(303) 679-2020
Fax
(303) 670-2160
NPI assigned
Aug 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036128750 IL
Family Medicine Physician 207Q00000X 51723 CO Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 51723 CO

Addresses

Primary practice location

32214 Ellingwood TRL
Suite 210
Evergreen, CO 80439-9719

Mailing address

32214 Ellingwood TRL
Suite 210
Evergreen, CO 80439-9719
Phone (303) 679-2020

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
I20130301000140 CO Practitioner - Family PracticePractitioner - Sports Medicine 6305091042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

255 S Routt St
Lakewood, CO 80228-2354

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036128750ILMDFamily Medicine Physician
51723COMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince May 1, 2018 Accepting new patients
Catholic Health Initiatives Colorado Family Medicine CurrentSince May 1, 2018 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

32214 Ellingwood Trl
Ste 210
Evergreen, CO 80439
Phone (303) 679-2020

255 S Routt St
Ste 300
Lakewood, CO 80228
Phone (720) 321-8280

11700 W 2nd Pl
Ste 210
Lakewood, CO 80228
Phone (720) 321-8080

7280 Irving St
Ste 302C
Westminster, CO 80030
Phone (303) 429-1508

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1629224183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32214 ELLINGWOOD TRL",
            "address_2": "SUITE 210",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399719",
            "telephone_number": "303-679-2020",
            "fax_number": "303-670-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32214 ELLINGWOOD TRL",
            "address_2": "SUITE 210",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399719",
            "telephone_number": "303-679-2020",
            "fax_number": "303-670-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "ROBERT",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036128750",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "51723",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CO",
            "license": "51723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

Verify at the official NPI Registry.