NPIMap

Organization Active NPI

Montrose Memorial Hospital, Inc

Doing business as Montrose Regional Health Urology Clinic

  • Urology Physician
  • Montrose, CO
National Provider Identifier
1881589448
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MONTROSE MEMORIAL HOSPITAL, INC
Doing business as
Montrose Regional Health Urology Clinic
Practice address
3330 S Rio Grande Ave Ste 140
Montrose, CO 81401-4850
Phone
(970) 497-8100
Fax
(970) 497-8101
NPI assigned
Jun 12, 2025
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Megan Beaver
Title
Credentialing Coordinator
Phone
(970) 252-2691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

3330 S Rio Grande Ave Ste 140
Montrose, CO 81401-4850

Mailing address

2233 E Main St
Montrose, CO 81401-3831
Phone (970) 765-0831

Other names 1

  • MONTROSE REGIONAL HEALTH UROLOGY CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040119000579 CO Part B Supplier - Clinic/Group Practice 1658272992 Receives reassigned benefits from 162 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Montrose, CO; Telluride, CO; Motnrose, CO; Gunnison, CO; Delta, CO; Cortez, CO

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2328265Montrose Regional Health Urology Clinic3330 South Rio Grande Ave, Suite 140, Montrose, CO 81401Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Montrose Memorial Hosp23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

  • Alexandra Lauren, MD
    • Student in an Organized Health Care Education/Training Program
    • Denver, CO
    • NPI 1235715798
    NPD

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1881589448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 E MAIN ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013831",
            "telephone_number": "970-765-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 S RIO GRANDE AVE STE 140",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014850",
            "telephone_number": "970-497-8100",
            "fax_number": "970-497-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTROSE MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "970-252-2691"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTROSE REGIONAL HEALTH UROLOGY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MONTROSE REGIONAL HEALTH UROLOGY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.