Mountain Rheumatology LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

MOUNTAIN RHEUMATOLOGY LLC

Practice address

4500 E 9TH Ave
No 500 S
Denver, CO 80220-3900

Phone

(303) 861-2190

Fax

(303) 355-4435

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

David Korman, MDNPI 1245297555

Title

President

Phone

(303) 861-2190

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CO, KS2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• David S Korman, MD

  • Rheumatology Physician
  • Denver, CO
  • NPI 1245297555

  CO, KS, Rheumatology

  Medicare reassignment Care Compare group NPD Authorized official
• Kathleen Srock, MD

  • Rheumatology Physician
  • Denver, CO
  • NPI 1518921568

  CO, Rheumatology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1790703239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "address_2": "NO 500 S",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203900",
            "telephone_number": "303-861-2190",
            "fax_number": "303-355-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "address_2": "NO 500 S",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203900",
            "telephone_number": "303-861-2190",
            "fax_number": "303-355-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN RHEUMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "KORMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-861-2190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200365030B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84253347",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200365030A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountain Mind, LLC
• Mountain Peak Associates LLC
• Mountain Peak Pediatric Therapy
• Mountain Peak Primary Care LLC
• Mountain Rheumatology Infusion Center LLC
• Mountain Sleep Diagnostics, Inc
• Mountain Smiles - Aspen Dental, PLLC
• Mountain State Holistic Health LLC
• Mountain States Emergency Medical Services LLC
• Mountain States Emergency Medical Services LLC

• All providers in Denver, CO
• Rheumatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.