Individual provider Active NPI

Timothy W Leavitt, M.D.

  • Interventional Cardiology Physician
  • Wheat Ridge, CO
National Provider Identifier
1851358295
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
21396 Issued in CO
Practice address
3655 Lutheran Parkway
Suite # 201
Wheat Ridge, CO 80033-6010
Phone
(303) 603-9800
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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 21396 CO
Interventional Cardiology Physician 207RI0011X 21396 CO Primary

Addresses

Primary practice location

3655 Lutheran Parkway
Suite # 201
Wheat Ridge, CO 80033-6010

Mailing address

2420 W 26TH Ave Ste 400D
Denver, CO 80211-5357
Phone (303) 467-4162

Other identifiers 1

IdentifierTypeStateIssuer
01213966MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21396COMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Heart Associates, P.C. Cardiovascular Disease Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tleavitt6538@direct.intermountainhealth.org

Organizations & group practices 1

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1851358295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 W 26TH AVE STE 400D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115357",
            "telephone_number": "303-467-4162",
            "fax_number": "303-318-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LUTHERAN PARKWAY",
            "address_2": "SUITE # 201",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336010",
            "telephone_number": "303-603-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "TIMOTHY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "21396",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CO",
            "license": "21396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01213966",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.