Active NPI
Jennifer M Tamblyn, M.D.
- Internal Medicine Physician
- Denver, CO
National Provider Identifier
1881860773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 46234
- Practice address
- 1721 E 19TH Ave
Suite 500
Denver, CO 80218-1251 - Phone
- (303) 869-2160
- Fax
- (303) 869-2544
- NPI assigned
- May 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 46234 | CO | Primary |
Addresses
Primary practice location
1721 E 19TH Ave
Suite 500
Denver, CO 80218-1251
Mailing address
Peak Internal Medicine
Louisville, CO 80027
Phone (720) 222-0648
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64131050 | Medicaid | CO | |
| 49280732 | Medicaid | CO |
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 Compare- Specialty
- Internal Medicine
- Education
- University of Colorado School of Medicine, Denver, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
400 S McCaslin Blvd
Suite 200
Superior, CO 80027-9701
Phone (720) 222-0648
Hospital & facility affiliations
- Adventhealth Avista
- Boulder Community Health
- Centura Health-St Anthony North Health Campus
- Good Samaritan Medical Center LLC
- Longs Peak Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46234 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Internal Medicine | Internal Medicine | Current | Accepting new patients |
Locations
400 S McCaslin Blvd
Ste 200
Superior, CO 80027
Phone (720) 222-0648
Interoperability endpoints
- jtamblyn2549071@adventhealth.direct-ci.com
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.
-
- Internal Medicine Physician
- Louisville, CO
- NPI 1619452364
Hospital & facility affiliations 51
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574985600000",
"number": "1881860773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PEAK INTERNAL MEDICINE",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "80027",
"telephone_number": "720-222-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 E 19TH AVE",
"address_2": "SUITE 500",
"city": "DENVER",
"state": "CO",
"postal_code": "802181251",
"telephone_number": "303-869-2160",
"fax_number": "303-869-2544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMBLYN",
"first_name": "JENNIFER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2019-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "46234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64131050",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49280732",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; 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.