Organization Active NPI

Prostate Cancer Institute of Colorado PC

  • Radiation Oncology Physician
  • Denver, CO
National Provider Identifier
1801576871
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
PROSTATE CANCER INSTITUTE OF COLORADO PC
Practice address
7535 E Hampden Ave Ste 400
Denver, CO 80231-4844
Phone
(303) 276-4146
Fax
(303) 276-4147
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Ajay Bhatnagar, MDNPI 1417161704
Title
Owner
Phone
(480) 360-4009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

7535 E Hampden Ave Ste 400
Denver, CO 80231-4844

Mailing address

1445 W Chandler Blvd Ste A5
Chandler, AZ 85224-6130
Phone (480) 360-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20231010001127 AZ Part B Supplier - Clinic/Group Practice 1153776240 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ
O20231019000140 CO Part B Supplier - Clinic/Group Practice 1153776240 Receives reassigned benefits from 1 practitioner
Practice locations: Lone Tree, CO
O20240325002382 CA Part B Supplier - Clinic/Group Practice 1153776240 Receives reassigned benefits from 1 practitioner
Practice locations: Fountain Valley, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1801576871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 W CHANDLER BLVD STE A5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246130",
            "telephone_number": "480-360-4009",
            "fax_number": "480-360-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 E HAMPDEN AVE STE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314844",
            "telephone_number": "303-276-4146",
            "fax_number": "303-276-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTATE CANCER INSTITUTE OF COLORADO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "BHATNAGAR",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-360-4009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.