Active NPI
John A Prevedel, MD
- Cardiovascular Disease Physician
- Aurora, CO
National Provider Identifier
1831185776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 24985
- Practice address
- 1444 S Potomac Street
Suite 300
Aurora, CO 80012-4510 - Phone
- (303) 750-0822
- Fax
- (303) 750-1298
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 24985 | CO | Primary |
| Interventional Cardiology Physician | 207RI0011X | 24985 | CO |
Addresses
Primary practice location
1444 S Potomac Street
Suite 300
Aurora, CO 80012-4510
Mailing address
4900 S Monaco St
#210
Denver, CO 80237-3486
Phone (303) 750-0822
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01909223 | Medicaid | NM | |
| 01249853 | Medicaid | CO | |
| 10026280700 | Medicaid | NE | |
| 100174090D | Medicaid | KS | |
| 10026280600 | Medicaid | NE | |
| 10026280800 | Medicaid | NE | |
| 10026283100 | Medicaid | NE | |
| 10026281000 | Medicaid | NE | |
| 10026281200 | Medicaid | NE | |
| 1982948089 | Medicaid | NE | |
| 109800400 | Medicaid | WY |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 40.82 of 100
- Quality
- 9.1
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 43.64
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Quality
- 84.38
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24985 | CO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Heart Health LLC | Current | Accepting new patients | |
| Abc Heart Health LLC | Current | Accepting new patients | |
| Rose Interpretation Group | Cardiovascular Disease | Past | Accepting new patients |
Locations
401 W Hampden Pl
Ste 260
Englewood, CO 80110
Phone (303) 761-5454
3624 E Highlands Ranch Pkwy
Unit 103
Highlands Ranch, CO 80126
Phone (303) 789-1400
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Englewood, CO
- NPI 1891221750
-
- Multi-Specialty Clinic/Center
- Highlands Ranch, CO
- NPI 1467293647
-
- Cardiovascular Disease Physician
- Denver, CO
- NPI 1649238908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1831185776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 S MONACO ST",
"address_2": "#210",
"city": "DENVER",
"state": "CO",
"postal_code": "802373486",
"telephone_number": "303-750-0822",
"fax_number": "303-750-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 S POTOMAC STREET",
"address_2": "SUITE 300",
"city": "AURORA",
"state": "CO",
"postal_code": "800124510",
"telephone_number": "303-750-0822",
"fax_number": "303-750-1298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREVEDEL",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CO",
"license": "24985",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CO",
"license": "24985",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01909223",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01249853",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026280700",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100174090D",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026280600",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026280800",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026283100",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026281000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026281200",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982948089",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109800400",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.