Individual provider Active NPI

Matthew Tigchelaar, MD

  • Emergency Medicine Physician
  • Lakewood, CO
National Provider Identifier
1902992019
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
49465 Issued in CO
Practice address
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone
(303) 202-1280
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01052892 IN
Emergency Medicine Physician 207P00000X 49465 CO Primary

Addresses

Primary practice location

11600 W 2ND PL
Lakewood, CO 80228-1527

Mailing address

PO Box 5788
Denver, CO 80217-5788
Phone (303) 202-1280

Other identifiers 3

IdentifierTypeStateIssuer
200282940MedicaidIN
021831OtherCOKAISER COMMERCIAL NUMBER
91528364MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000537 CO Practitioner - Emergency Medicine 7012999717 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
86.65
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49465COMDEmergency Medicine Physician
01052892INMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine Current Accepting new patients
Premier Emergency Services, Inc Emergency Medicine CurrentSince Apr 1, 2015 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Premier Emergency Services, Inc Emergency Medicine CurrentSince Apr 1, 2015 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Sep 1, 2018 Accepting new patients
Avista Emergency Physicians, P.C. Emergency Medicine Past Accepting new patients

Locations

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

4943 State Highway 52
Ste 100
Erie, CO 80514
Phone (303) 925-4840

760 Warner Dr
Golden, CO 80401
Phone (303) 925-4360

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

3280 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 649-3620

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

9949 S Oswego St
Parker, CO 80134
Phone (303) 925-4700

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1902992019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5788",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175788",
            "telephone_number": "303-202-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 W 2ND PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281527",
            "telephone_number": "303-202-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGCHELAAR",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01052892",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "49465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200282940",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "021831",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91528364",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.