Summit Medical Consultants Aco Prof LLC
Organization Active NPI Internal Medicine Physician · Greenwood Village, CO
NPI 1891471207 · NPPES record last updated Nov 28, 2023
Key facts
- NPI
- 1891471207
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- SUMMIT MEDICAL CONSULTANTS ACO PROF LLC
- Practice address
- 9250 E Costilla Ave Ste 540
Greenwood Village, CO 80112-3648 - Phone
- (720) 644-9355
- NPI assigned
- Jun 22, 2023
- Organization subpart
- No
Authorized official
- Name
- Rajendra Kadari, MD
- Title
- Physician/Owner
- Phone
- (720) 644-9355
Other NPIs on the same Medicare enrollment 1
Practitioners 103
-
Rajendra Kadari, M.D.
-
Augusta Aggrey, NP
-
Ekua Antwi, FNP
-
Kyla Araujo, ACNPC-AG
-
James Saul Archuleta, FNP-BC
-
Vineela Battini, M.D.
-
Anthony Bosse, FNP
-
Carolyn Brown, NP
-
Gabriel Cintron, MD
-
Elizabeth Penick Clark, D.O., MPH & TM
-
Stephanie Michelle Cochrane, FNP-C
-
Ganga Devi Dangi, NP
-
Sofia Delgado, APN
-
Erin Anne Ellsworth, APN
-
Diego M Freitas, M.D.
-
Katie Lynn Frison, FNP
-
Ashwini P. Gade, MD
-
Aries Torralba Giabia-Mason, FNP-C
-
Julia Girouard, NP
-
April D Goggans, D.O.
-
Shannon E Guyer, NURSE PRACTITIONER
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230824000305 | CO | Part B Supplier - Clinic/Group Practice | 2961865993 |
Receives reassigned benefits from 98 practitioners 1 other NPI on this enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
9250 E Costilla Ave Ste 540
Greenwood Village, CO 80112-3648
Mailing address
9250 E Costilla Ave Ste 540
Greenwood Village, CO 80112-3648
Phone (720) 644-9355
Other names
- Summit Medical Consultants ACO
Other providers in Greenwood Village, CO
- Andrew Walter Sullivan
- Bethany Mee Yeong Summers
- Chelsey Deane Summers
- Summersett Speech Therapy LLC
- Summit Hospitalists PLLC
- Summit Medical Consultants PLLC
- Summit Psychological Services, LLC
- Cameron J Sumner
- Sun Care Hospice Inc
- Suncrest Hospice LLC
All providers in Greenwood Village, CO · Internal Medicine 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 Nov 28, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.