Individual provider Active NPI

Clark B Zimmerman IV, MD

  • Family Medicine Physician
  • Elizabeth, CO
National Provider Identifier
1932107950
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0034444 Issued in CO
Practice address
240 S Elizabeth St Ste B
Elizabeth, CO 80107-7546
Phone
(303) 269-2551
Fax
(303) 269-2552
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0034444 CO Primary

Addresses

Primary practice location

240 S Elizabeth St Ste B
Elizabeth, CO 80107-7546

Mailing address

240 S Elizabeth St Ste B
Elizabeth, CO 80107-7546
Phone (303) 269-2551

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
I20100716000716 CO Practitioner - Family Practice 2062404924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0034444COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Feb 1, 2018 Accepting new patients
Portercare Adventist Health System CurrentSince Oct 20, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Feb 1, 2018 Accepting new patients
Portercare Adventist Health System CurrentSince Oct 20, 2025 Accepting new patients
Uchealth Community Services Past Accepting new patients

Locations

15240 W 64th Ave
Arvada, CO 80007
Phone (303) 463-7180

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

340 E 1st Ave
Ste 101
Broomfield, CO 80020
Phone (303) 544-3800

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

4809 Argonne St
Ste 100
Denver, CO 80249
Phone (303) 344-8700

1700 N Marion St
Denver, CO 80218
Phone (303) 830-6666

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

5589 Argonne St
Denver, CO 80249
Phone (303) 371-0330

240 S Elizabeth St
Ste B
Elizabeth, CO 80107
Phone (303) 269-2551

9620 E Arapahoe Rd
Greenwood Village, CO 80112
Phone (303) 222-2118

7000 E Belleview Ave
Ste 209
Greenwood Village, CO 80111
Phone (303) 850-9715

206 W County Line Rd
Ste 300
Highlands Ranch, CO 80129
Phone (303) 795-5980

9475 S University Blvd
Highlands Ranch, CO 80126
Phone (303) 470-4061

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

9695 S Yosemite St
Ste 224
Lone Tree, CO 80124
Phone (303) 265-3970

16990 Village Center Dr E
Parker, CO 80134
Phone (303) 805-3020

19964 Hilltop Rd
Ste A
Parker, CO 80134
Phone (303) 841-2212

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1932107950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S ELIZABETH ST STE B",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801077546",
            "telephone_number": "303-269-2551",
            "fax_number": "303-269-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S ELIZABETH ST STE B",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801077546",
            "telephone_number": "303-269-2551",
            "fax_number": "303-269-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "CLARK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0034444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, CO

Sources for this page

Verify at the official NPI Registry.