Individual provider Active NPI

John A Prevedel, MD

  • Cardiovascular Disease Physician
  • Aurora, CO
National Provider Identifier
1831185776
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
24985 Issued in CO
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

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01909223MedicaidNM
01249853MedicaidCO
10026280700MedicaidNE
100174090DMedicaidKS
10026280600MedicaidNE
10026280800MedicaidNE
10026283100MedicaidNE
10026281000MedicaidNE
10026281200MedicaidNE
1982948089MedicaidNE
109800400MedicaidWY

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
I20040219000071 CO Practitioner - Cardiovascular Disease (Cardiology) 8123913225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
40.82 of 100Reported as group
Quality
9.1
Promoting interoperability
100
Improvement activities
0
Cost
43.64

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as individual
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

LicenseStateTypeSpecialty
24985COMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Heart Health LLC CurrentSince Apr 1, 2025 Accepting new patients
Abc Heart Health LLC CurrentSince Apr 1, 2025 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.

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"
        },
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            "issuer": null,
            "identifier": "01249853",
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        {
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            "issuer": null,
            "identifier": "10026280700",
            "state": "NE"
        },
        {
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            "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"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026281000",
            "state": "NE"
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        {
            "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

Verify at the official NPI Registry.