NPIMap

Individual provider Active NPI

David P. Vansickle, M.D.

  • Neurological Surgery Physician
  • Littleton, CO
National Provider Identifier
1639216997
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
44002 Issued in CO
Practice address
7750 S Broadway Ste 350
Littleton, CO 80122-2623
Phone
(720) 638-7500
Fax
(720) 583-6770
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 44002 CO Primary

Addresses

Primary practice location

7750 S Broadway Ste 350
Littleton, CO 80122-2623

Mailing address

PO Box 5693
Denver, CO 80217-5693
Phone (303) 306-7783

Other identifiers 1

IdentifierTypeStateIssuer
47908254MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070808000176 CO Practitioner - Neurosurgery 4789775537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Pittsburgh School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9980 Park Meadows Dr
Suite 101
Lone Tree, CO 80124-8404
Phone (720) 638-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion70
Laminectomy or laminotomy (partial removal of spine bones)34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44002COMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgery One PC Neurological Surgery Current Accepting new patients
Neurosurgery One PC Neurological Surgery CurrentSince Oct 1, 2012 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Nov 1, 2021 Accepting new patients
Neurosurgery One PC Neurological Surgery CurrentSince Oct 1, 2012 Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

1635 Aurora Ct
Ste F752
Aurora, CO 80045
Phone (303) 366-0099

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

11750 W 2nd Pl
Ste 255
Lakewood, CO 80228
Phone (303) 629-5600

7780 S Broadway
Ste 350
Littleton, CO 80122
Phone (303) 734-8650

11 W Dry Creek Cir
Ste 120
Littleton, CO 80120
Phone (303) 951-8100

9980 Park Meadows Dr
Ste 101
Lone Tree, CO 80124

10463 Park Meadows Dr
Ste 114
Lone Tree, CO 80124
Phone (303) 396-1400

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

Organizations & group practices 7

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.

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1639216997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5693",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175693",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 S BROADWAY STE 350",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222623",
            "telephone_number": "720-638-7500",
            "fax_number": "720-583-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSICKLE",
        "first_name": "DAVID",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "44002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47908254",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.