NPIMap

Organization Active NPI

Endovascular Consultants of Colorado PC

  • Vascular & Interventional Radiology Physician
  • Lone Tree, CO
National Provider Identifier
1699316711
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
ENDOVASCULAR CONSULTANTS OF COLORADO PC
Practice address
8080 Park Meadows Dr Ste 150
Lone Tree, CO 80124-2566
Phone
(720) 668-8818
Fax
(720) 710-9492
NPI assigned
Sep 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Dr. Aaron C Kovaleski, MDNPI 1831354539
Title
President
Phone
(720) 668-8818

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
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

8080 Park Meadows Dr Ste 150
Lone Tree, CO 80124-2566

Mailing address

536 Meadowleaf LN
Highlands Ranch, CO 80126-5712
Phone (501) 425-8489

Other identifiers 2

IdentifierTypeStateIssuer
DR.0059870OtherCOCOLORADO MEDICAL LICENSE
9000161370MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200123000418 CO Part B Supplier - Clinic/Group Practice 5496180374 Receives reassigned benefits from 5 practitioners
Practice locations: Lone Tree, CO; Pueblo, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2242850Endovascular Consultants of Colorado Medical8080 Park Meadows Dr Ste 150, Lone Tree, CO 80124Certificate of waiverNov 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Endovascular Consultants of Colorado PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

291 15th St
Burlington, CO 80807
Phone (303) 209-2503

323 S Purcell Blvd
Ste 150
Pueblo, CO 81007
Phone (719) 569-3226

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1699316711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 MEADOWLEAF LN",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265712",
            "telephone_number": "501-425-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 PARK MEADOWS DR STE 150",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242566",
            "telephone_number": "720-668-8818",
            "fax_number": "720-710-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOVASCULAR CONSULTANTS OF COLORADO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "KOVALESKI",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-668-8818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO MEDICAL LICENSE",
            "identifier": "DR.0059870",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000161370",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.