Active NPI
Timothy W Leavitt, M.D.
- Interventional Cardiology Physician
- Wheat Ridge, CO
National Provider Identifier
1851358295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 21396
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01213966 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21396 | CO | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Heart Associates, P.C. | Cardiovascular Disease | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Cardiovascular Disease Physician
- Wheat Ridge, CO
- NPI 1386602068
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.