NPIMap

Individual provider Active NPI

Colleen Sarah Hupp, DO

  • Vascular Surgery Physician
  • Englewood, CO
National Provider Identifier
1790805307
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
DR0055172 Issued in CO
Practice address
500 E Hampden Ave Ste 204
Englewood, CO 80113-2885
Phone
(303) 778-6527
NPI assigned
Mar 29, 2007
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 94-06425 KS
Vascular Surgery Physician 2086S0129X 2010018543 MO
Vascular Surgery Physician 2086S0129X DR0055172 CO Primary

Addresses

Primary practice location

500 E Hampden Ave Ste 204
Englewood, CO 80113-2885

Mailing address

500 E Hampden Ave Ste 204
Englewood, CO 80113-2885
Phone (303) 778-6527

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150527000227 CO Practitioner - Vascular Surgery 9931357076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Kansas City University of Physicians and Surgeons, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Cardiovascular Surgical Associates, P.C.Group PAC ID 0143298786, 5 clinicians

Practice addresses (Care Compare)

950 E Harvard Ave
Suite 550
Denver, CO 80210-7000
Phone (303) 778-6527

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
69.07
Improvement activities
40
Cost
58.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal19
Leg revascularization (restoring blood flow)18
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-06425KSMDSurgery Physician
DR0055172COMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Cardiovascular Surgical Associates,Inc. CurrentSince Jun 15, 2015 Accepting new patients

Locations

4600 Hale Pkwy
Ste 460
Denver, CO 80220
Phone (303) 321-4477

950 E Harvard Ave
Ste 550
Denver, CO 80210
Phone (303) 269-2920

500 E Hampden Ave
Ste 204
Englewood, CO 80113
Phone (303) 778-6527

10103 Ridgegate Pkwy
Ste 213
Lone Tree, CO 80124
Phone (303) 649-1320

Organizations & group practices 1

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

Hospital & facility affiliations 12

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1790805307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E HAMPDEN AVE STE 204",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132885",
            "telephone_number": "303-778-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E HAMPDEN AVE STE 204",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132885",
            "telephone_number": "303-778-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPP",
        "first_name": "COLLEEN",
        "middle_name": "SARAH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "94-06425",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2010018543",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CO",
            "license": "DR0055172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.