Individual provider Active NPI

Maximiliano Javier Smolkin, M.D.

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1801112354
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0052702 Issued in CO
Practice address
2525 S Downing St
Denver, CO 80210-0429
Phone
(303) 715-7184
Fax
(720) 874-5886
NPI assigned
Apr 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0052702 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2525 S Downing St
Denver, CO 80210-0429

Mailing address

2525 S Downing St
Denver, CO 80210-0429
Phone (303) 715-7184

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130827000715 CO Practitioner - Internal Medicine 6406099258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Mark a Norden MD PCGroup PAC ID 0749204022, 5 clinicians

Practice addresses (Care Compare)

340 Peak One Dr
Frisco, CO 80443-9900
Phone (303) 885-4673

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0052702COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a Norden M.D.,PC Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System Internal Medicine CurrentSince Jan 30, 2017 Accepting new patients
Portercare Adventist Health System CurrentSince Jan 30, 2017 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Anthony Summit HospitalFrisco, CO, CCN 060118 Hospital Corporate Director Oct 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 1

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1801112354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802100429",
            "telephone_number": "303-715-7184",
            "fax_number": "720-874-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802100429",
            "telephone_number": "303-715-7184",
            "fax_number": "720-874-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLKIN",
        "first_name": "MAXIMILIANO",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0052702",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.