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Organization Active NPI

Obstetrix Medical Group of Colorado P C

Doing business as Pediatrix Obstetrix Medical Group of Colorado

  • Neonatal-Perinatal Medicine Physician
  • Denver, CO
National Provider Identifier
1700983103
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
OBSTETRIX MEDICAL GROUP OF COLORADO P C
Doing business as
Pediatrix Obstetrix Medical Group of Colorado
Practice address
1719 E 19TH Ave
Denver, CO 80218-1235
Phone
(303) 839-6000
NPI assigned
Sep 20, 2006
Last updated
Oct 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Linda Chen
Title
Assistant Secretary
Phone
(800) 243-3839

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X
Perinatal Nurse Practitioner 363LP1700X
Women's Health Nurse Practitioner 363LW0102X
Infectious Disease Physician 207RI0200X
Maternal & Fetal Medicine Physician 207VM0101X
Pediatrics Physician 208000000X
Neonatal-Perinatal Medicine Physician 2080N0001X Primary
Pediatric Critical Care Medicine Physician 2080P0203X

Addresses

Primary practice location

1719 E 19TH Ave
Denver, CO 80218-1235

Mailing address

1301 Concord Ter
Sunrise, FL 33323-2843
Phone (800) 243-3839

Other identifiers 1

IdentifierTypeStateIssuer
04021655MedicaidCO

Other names 1

  • Pediatrix Obstetrix Medical Group of Colorado Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE, WY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040316001040 CO Part B Supplier - Clinic/Group Practice 6709776651 Receives reassigned benefits from 113 practitioners
1 other NPI on this enrollment
Practice locations: Englewood, CO; Wheat Ridge, CO; Vail, CO; Louisville, CO; Lone Tree, CO; Littleton, CO; Greeley, CO; Glenwood Springs, CO…
O20080214000393 NE Part B Supplier - Clinic/Group Practice 6709776651 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Scottsbluff, NE
O20160518001378 WY Part B Supplier - Clinic/Group Practice 6709776651 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
Practice locations: Casper, WY; Laramie, WY; Lander, WY; Gillette, WY; Douglas, WY; Cheyenne, WY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Obstetrix Medical Group of Colorado PC102 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

10103 Ridgegate Pkwy
Ste 212
Lone Tree, CO 80124
Phone (303) 792-5585

150 N Melrose St
Casper, WY 82601
Phone (307) 234-6988

Practitioners & affiliated clinicians

Practitioners 114

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 114

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1700983103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-243-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 E 19TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181235",
            "telephone_number": "303-839-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRIX MEDICAL GROUP OF COLORADO P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "800-243-3839"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP1700X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Perinatal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04021655",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrix Obstetrix Medical Group of Colorado",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatrix Obstetrix Medical Group of Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.