Active NPI
Catholic Health Initiatives Colorado
- Family Medicine Physician
- Broomfield, CO
National Provider Identifier
1912199985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Doing business as
- North Vista Medical Group
- Practice address
- 6363 W 120TH Ave
Suite 202
Broomfield, CO 80020-0300 - Phone
- (303) 501-2600
- NPI assigned
- Aug 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramy Hana
- Title
- Asst. VP Finance
- Phone
- (303) 804-8189
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CO | Primary |
Addresses
Primary practice location
6363 W 120TH Ave
Suite 202
Broomfield, CO 80020-0300
Mailing address
Dept 1057
Denver, CO 80291-1057
Phone (303) 486-5504
Other names 1
- North Vista Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000462 | CO | Part B Supplier - Clinic/Group Practice | 8022927342 |
Receives reassigned benefits from 1,310 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Pueblo, CO
- NPI 1396298196
-
- Family Medicine Physician
- Westminster, CO
- NPI 1851822449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187308800000",
"number": "1912199985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 1057",
"city": "DENVER",
"state": "CO",
"postal_code": "802911057",
"telephone_number": "303-486-5504",
"fax_number": "303-486-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 W 120TH AVE",
"address_2": "SUITE 202",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800200300",
"telephone_number": "303-501-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-17",
"status": "A",
"authorized_official_last_name": "HANA",
"authorized_official_first_name": "RAMY",
"authorized_official_title_or_position": "ASST. VP FINANCE",
"authorized_official_telephone_number": "303-804-8189"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Vista Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.