Organization Active NPI

Colorado Neurodiagnostics PLLC

Doing business as Colorado Neurodiagnostics

  • Neurology Physician
  • Littleton, CO
National Provider Identifier
1659435584
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
41898 Issued in CO
Legal business name
COLORADO NEURODIAGNOSTICS PLLC
Doing business as
Colorado Neurodiagnostics
Practice address
4 W Dry Creek Cir Ste 150
Littleton, CO 80120-8072
Phone
(303) 730-2883
Fax
(303) 730-2471
NPI assigned
Dec 22, 2006
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Mihaela G Alexander, MDNPI 1316987761
Title
President/Ownder
Phone
(303) 730-2883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 41898 CO Primary

Addresses

Primary practice location

4 W Dry Creek Cir Ste 150
Littleton, CO 80120-8072

Mailing address

4 W Dry Creek Cir Ste 150
Littleton, CO 80120-8072
Phone (303) 730-2883

Other identifiers 1

IdentifierTypeStateIssuer
42409837MedicaidCO

Other names 1

  • Colorado Neurodiagnostics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070215000787 CO Part B Supplier - Clinic/Group Practice 1658373949 Receives reassigned benefits from 5 practitioners
Practice locations: Littleton, CO

National Provider Directory

National Provider Directory

Locations

5994 S Holly St
#231
Greenwood Village, CO 80111

4 W Dry Creek Cir
Ste 150
Littleton, CO 80120
Phone (303) 730-2471

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1659435584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W DRY CREEK CIR STE 150",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208072",
            "telephone_number": "303-730-2883",
            "fax_number": "303-730-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W DRY CREEK CIR STE 150",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208072",
            "telephone_number": "303-730-2883",
            "fax_number": "303-730-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO NEURODIAGNOSTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "MIHAELA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/OWNDER",
        "authorized_official_telephone_number": "303-730-2883",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "41898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42409837",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Neurodiagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.