NPIMap

Individual provider Active NPI

Arlen Stauffer, M.D.

  • Family Medicine Physician
  • Parker, CO
National Provider Identifier
1790713139
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0066576 Issued in CO
Practice address
12230 Lioness Way
Parker, CO 80134-5603
Phone
(720) 644-9355
Fax
(720) 523-1654
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X DR.0066576 CO
Family Medicine Physician 207Q00000X DR.0066576 CO Primary

Addresses

Primary practice location

12230 Lioness Way
Parker, CO 80134-5603

Mailing address

9250 E Costilla Ave Ste 540
Greenwood Village, CO 80112-3648
Phone (720) 644-9355

Other identifiers 3

IdentifierTypeStateIssuer
067499100MedicaidFL
64470OtherFLBLUE CROSS BLUE SHIELD OF FLORIDA
1790713139OtherFLTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070521000550 FL Practitioner - Hospice/Palliative CarePractitioner - Family Practice 5395842652 Reassigns benefits to 1 organization
I20210916000256 CO Practitioner - Family Practice 5395842652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Consultants PLLCGroup PAC ID 0547589517, 78 clinicians

Practice addresses (Care Compare)

12230 Lioness Way
Parker, CO 80134-5603
Phone (720) 644-9355

Hospital & facility affiliations

  • Dignity Hospice of Colorado, LLC Hospice, Thornton, CO, CCN 061578
  • Brighton Hospice Colorado, LLC Hospice, Denver, CO, CCN 061613
  • Choice Hospice Hospice, Greenwood Village, CO, CCN 061612
  • Elevation Hospice of Colorado Hospice, Arvada, CO, CCN 061592
  • Parker Post Acute Nursing home, Parker, CO, CCN 065405
  • Orchard Park Health Care Center Nursing home, Littleton, CO, CCN 065259
  • Silver Heights Skilled Nursing and Rehabilitation Nursing home, Castle Rock, CO, CCN 065285
  • Brookside Inn Nursing home, Castle Rock, CO, CCN 065361
  • Lowry Hills Care and Rehabilitation Nursing home, Aurora, CO, CCN 065001

Merit-based Incentive Payment System (MIPS)

Final score
76.42 of 100Reported as apm
Quality
55.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0066576COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Consultants PLLC CurrentSince Oct 6, 2021 Accepting new patients
Halifax Healthcare Systems Inc Family Medicine CurrentSince Jun 1, 2007 Accepting new patients
Summit Medical Consultants Aco Prof LLC CurrentSince Aug 26, 2023 Accepting new patients
Bert Fish Medical Center Inc Past Accepting new patients
Southeast Volusia Medical Services Inc Family Medicine Past Accepting new patients
Emergency Medicine Professionals PA Past Accepting new patients
Sweetwater Aurora Opco LLC Past Accepting new patients
Dove Valley Healthcare, Inc. Past Accepting new patients
Home Street Operations, LLC Past Accepting new patients

Locations

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

5023 W 120th Ave
Broomfield, CO 80020
Phone (303) 644-9355

9250 E Costilla Ave
Ste 540
Greenwood Village, CO 80112

9398 Crown Crest Blvd
Parker, CO 80138
Phone (303) 577-7239

12230 Lioness Way
Parker, CO 80134
Phone (720) 214-7777

303 N Clyde Morris Blvd
Fl 10
Daytona Beach, FL 32114
Phone (386) 425-2360

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1790713139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 E COSTILLA AVE STE 540",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801123648",
            "telephone_number": "720-644-9355",
            "fax_number": "720-523-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 LIONESS WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345603",
            "telephone_number": "720-644-9355",
            "fax_number": "720-523-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "ARLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "DR.0066576",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0066576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067499100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "64470",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1790713139",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.