Organization Active NPI

Rocky Mountain Gastroenterology Associates, PLLC

  • Gastroenterology Physician
  • Lakewood, CO
National Provider Identifier
1669414272
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ROCKY MOUNTAIN GASTROENTEROLOGY ASSOCIATES, PLLC
Practice address
3333 S Wadsworth Blvd
Ste. D-100
Lakewood, CO 80227-5122
Phone
(303) 205-1090
Fax
(303) 205-1120
NPI assigned
Jun 11, 2006
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Alexander P. Cmil
Title
Cfo
Phone
(303) 205-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

3333 S Wadsworth Blvd
Ste. D-100
Lakewood, CO 80227-5122

Mailing address

3333 S Wadsworth Blvd
Ste. D-100
Lakewood, CO 80227-5122
Phone (303) 205-1090

Other identifiers 2

IdentifierTypeStateIssuer
04018503MedicaidCO
CN3117OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401001433 CO Part B Supplier - Clinic/Group Practice 5991797532 Receives reassigned benefits from 72 practitioners
Practice locations: Lakewood, CO; Westminster, CO; Thornton, CO; Littleton, CO; Denver, CO; Centennial, CO; Aurora, CO

National Provider Directory

National Provider Directory

Locations

1300 S Potomac St
Ste 104
Aurora, CO 80012
Phone (303) 671-5553

1444 S Potomac St
Aurora, CO 80012
Phone (303) 337-5550

13111 E Briarwood Ave
Centennial, CO 80112
Phone (303) 649-9950

14000 E Arapahoe Rd
Centennial, CO 80112
Phone (303) 226-6180

7346 S Alton Way
Ste 10-D
Centennial, CO 80112
Phone (303) 220-4369

7346 S Alton Way
Ste 10-E
Centennial, CO 80112
Phone (303) 770-4848

4500 E 9th Ave
#560S
Denver, CO 80220
Phone (303) 388-6874

4500 E 9th Ave
Ste 560
Denver, CO 80220
Phone (303) 388-6874

4500 E 9th Ave
Ste 5605
Denver, CO 80220

4500 E 9th Ave
Ste 560S
Denver, CO 80220
Phone (303) 388-6874

4809 Argonne St
Ste 210
Denver, CO 80249

3333 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 989-8551

3333 S Wadsworth Blvd
#100
Lakewood, CO 80227

355 Union Blvd
Lakewood, CO 80228

7000 W Colfax Ave
Ste B
Lakewood, CO 80214
Phone (303) 573-9951

1001 Southpark Dr
Littleton, CO 80120
Phone (303) 531-5724

9397 Crown Crest Blvd
Parker, CO 80138
Phone (303) 840-1135

10001 Washington St
Ste 2
Thornton, CO 80229

10001 Washington St
Uppr Lvl
Thornton, CO 80229

8550 W 38th Ave
#300
Wheat Ridge, CO 80033
Phone (303) 463-3900

8550 W 38th Ave
Ste 300
Wheat Ridge, CO 80033
Phone (303) 463-3900

Practitioners & affiliated clinicians

Practitioners 78

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 78

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1669414272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S WADSWORTH BLVD",
            "address_2": "STE. D-100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275122",
            "telephone_number": "303-205-1090",
            "fax_number": "303-205-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S WADSWORTH BLVD",
            "address_2": "STE. D-100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275122",
            "telephone_number": "303-205-1090",
            "fax_number": "303-205-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN GASTROENTEROLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "CMIL",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-205-1090"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04018503",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN3117",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.