NPIMap

Organization Active NPI

Colorado Retina Associates, PLLC

  • Medical Specialty Clinic/Center
  • Lakewood, CO
National Provider Identifier
1790876159
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
COLORADO RETINA ASSOCIATES, PLLC
Practice address
255 S Routt St Ste 200
Lakewood, CO 80228-2271
Phone
(303) 261-1600
Fax
(303) 261-1601
NPI assigned
Sep 28, 2006
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COLORADO RETINA ASSOCIATES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Kylie Espinoza
Title
Credentialing Specialist
Phone
(303) 261-1600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0108X
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

255 S Routt St Ste 200
Lakewood, CO 80228-2271

Mailing address

PO Box 736996
Dallas, TX 75373-6996
Phone (303) 261-1600

Other practice location 1

3401 Quebec St # 105
Denver, CO 80207-2322
Phone (303) 261-1600

Other practice location 2

1050 W South Boulder Rd Ste 2100
Lafayette, CO 80026-2818
Phone (303) 261-1600

Other practice location 3

55 Madison St Ste 300
Denver, CO 80206-5421
Phone (303) 261-1600

Other practice location 4

1501 W Mineral Ave Ste 200
Denver, CO 80210-5715
Phone (303) 261-1600

Other practice location 5

11960 Lioness Way
Parker, CO 80134-5640
Phone (303) 261-1600

Other practice location 6

220 W 2nd St
Goodland, KS 67735-1602
Phone (303) 261-1600

Other identifiers 7

IdentifierTypeStateIssuer
9000190491MedicaidCO
9000197544MedicaidCO
9000237316MedicaidCO
9000176494MedicaidCO
74505807MedicaidCO
9000216706MedicaidCO
23579200MedicaidCO

Other names 1

  • Colorado Retina Associates, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070125000355 CO Part B Supplier - Clinic/Group Practice 6002817566 Receives reassigned benefits from 15 practitioners
9 other NPIs on this enrollment
Practice locations: Denver, CO; Parker, CO; Littleton, CO; Lakewood, CO; Lafayette, CO; Golden, CO; Frisco, CO; Englewood, CO
O20070213000604 KS Part B Supplier - Clinic/Group Practice 6002817566 Receives reassigned benefits from 2 practitioners
Practice locations: Goodland, KS

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Part of
Colorado Retina Assoc PLLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

329 W 40th St
Scottsbluff, NE 69361
Phone (308) 635-3911

Interoperability endpoints

  • Direct secure messaging: azheng@retinacolorado.intellechartdirect.net
  • Direct secure messaging: ddanek@retinacolorado.intellechartdirect.net
  • Direct secure messaging: fsiringo@retinacolorado.intellechartdirect.net
  • Direct secure messaging: vmatei@retinacolorado.intellechartdirect.net

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1790876159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736996",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753736996",
            "telephone_number": "303-261-1600",
            "fax_number": "303-261-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S ROUTT ST STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282271",
            "telephone_number": "303-261-1600",
            "fax_number": "303-261-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Quebec St # 105",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802072322",
            "country_code": "US",
            "telephone_number": "303-261-1600",
            "fax_number": "303-261-1601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 W South Boulder Rd Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800262818",
            "country_code": "US",
            "telephone_number": "303-261-1600",
            "fax_number": "303-261-1601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Madison St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802065421",
            "country_code": "US",
            "telephone_number": "303-261-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Mineral Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802105715",
            "country_code": "US",
            "telephone_number": "303-261-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11960 Lioness Way",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801345640",
            "country_code": "US",
            "telephone_number": "303-261-1600",
            "fax_number": "303-261-1601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Goodland",
            "state": "KS",
            "postal_code": "677351602",
            "country_code": "US",
            "telephone_number": "303-261-1600",
            "fax_number": "303-261-1601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLORADO RETINA ASSOCIATES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO RETINA ASSOCIATES, PLLC",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "303-261-1600"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000190491",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000197544",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000237316",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000176494",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74505807",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000216706",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23579200",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Retina Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.