Individual provider Active NPI

Jeff Owen Richker, MD

  • Pediatrics Physician
  • Lafayette, CO
National Provider Identifier
1639174261
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35370 Issued in CO
Practice address
2600 Campus Dr
Suite a
Lafayette, CO 80026-3357
Phone
(303) 665-1900
Fax
(303) 926-1781
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35370 CO Primary

Addresses

Primary practice location

2600 Campus Dr
Suite a
Lafayette, CO 80026-3357

Mailing address

500 Eldorado Blvd
Suite 6250
Broomfield, CO 80021-3408
Phone (303) 272-0751

Other identifiers 1

IdentifierTypeStateIssuer
01353705MedicaidCO

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
I20070514000535 CO Practitioner - Pediatric Medicine 2860599552 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35370COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Front Range, Inc. Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2014 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Sep 12, 2010 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2014 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Sep 12, 2010 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients

Locations

500 Eldorado Blvd
Ste 6300
Broomfield, CO 80021
Phone (303) 272-0803

500 Eldorado Blvd
Ste 6250
Broomfield, CO 80021
Phone (303) 272-0750

8350 Colorado Blvd
Unit 1
Firestone, CO 80504
Phone (303) 689-5160

2600 Campus Dr
Ste A
Lafayette, CO 80026
Phone (303) 665-1900

3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000

Interoperability endpoints

  • Direct secure messaging: jrichker6597@direct.intermountainhealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1639174261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ELDORADO BLVD",
            "address_2": "SUITE 6250",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213408",
            "telephone_number": "303-272-0751",
            "fax_number": "303-318-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 CAMPUS DR",
            "address_2": "SUITE A",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263357",
            "telephone_number": "303-665-1900",
            "fax_number": "303-926-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHKER",
        "first_name": "JEFF",
        "middle_name": "OWEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "35370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01353705",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.