NPIMap

Organization Active NPI

Endovascular Consultants of Colorado PC

  • Vascular & Interventional Radiology Physician
  • Burlington, CO
National Provider Identifier
1730849811
Registry record updated Dec 30, 2021
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
291 15TH St
Burlington, CO 80807-1619
Phone
(720) 668-8818
Fax
(720) 710-9492
NPI assigned
Dec 30, 2021
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Aaron C Kovaleski, MDNPI 1831354539
Title
President
Phone
(501) 425-8489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NU Primary

Addresses

Primary practice location

291 15TH St
Burlington, CO 80807-1619

Mailing address

8080 Park Meadows Dr Ste 150
Lone Tree, CO 80124-2566
Phone (720) 668-8818

Other identifiers 1

IdentifierTypeStateIssuer
DR.0059870OtherCOCOLORADO MEDICAL LICENSE

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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1730849811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 15TH ST",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071619",
            "telephone_number": "720-668-8818",
            "fax_number": "720-710-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOVASCULAR CONSULTANTS OF COLORADO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "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": "501-425-8489",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO MEDICAL LICENSE",
            "identifier": "DR.0059870",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.