Courtney Mullins, MD
Individual provider Active NPI Hospitalist Physician · Denver, CO
NPI 1891358396 · NPPES record last updated May 31, 2022
Key facts
- NPI
- 1891358396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- DR.0068597 (CO)
- Practice address
- 835 E 18TH Ave
Denver, CO 80218-1024 - Phone
- (303) 825-4646
- NPI assigned
- Apr 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Mississippi School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Intermountain Medical Group Denver LLC
Practice addresses (Care Compare)
8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370
Hospital & facility affiliations
- Intermountain Health Hospice - Denver
- Intermountain Health Lutheran Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220609000284 | CO | Practitioner - Internal Medicine | 6204161169 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0068597 | CO | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current |
Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current |
Accepting new patients | |
| Intermountain Front Range, Inc. | Past | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 6300
Broomfield, CO 80021
Phone (303) 272-0803
8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | DR.0068597 | CO | Yes |
Addresses
Primary practice location
835 E 18TH Ave
Denver, CO 80218-1024
Mailing address
835 E 18TH Ave
Denver, CO 80218-1024
Other providers in Denver, CO
- Leneece Mullens
- David John Muller
- Brian Mulligan
- Katherine Mulligan
- Megan Mulligan
- Isabel Mullins
- Madison Rose Mullins
- Piper A Mullins
- Multicultural Counseling Center
- Tirusew Muluneh
All providers in Denver, CO · Hospitalist Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.