NPIMap

Organization Active NPI

Geriatric Medicine Associates, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lakewood, CO
National Provider Identifier
1952350100
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
GERIATRIC MEDICINE ASSOCIATES, PC
Practice address
11700 W 2ND PL
Plaza II Ste 450
Lakewood, CO 80228-1704
Phone
(303) 825-1234
Fax
(303) 321-8121
NPI assigned
May 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Thomas Cain, M.D.NPI 1679596605
Title
President
Phone
(303) 825-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X CO Primary

Addresses

Primary practice location

11700 W 2ND PL
Plaza II Ste 450
Lakewood, CO 80228-1704

Mailing address

PO Box 800022
Kansas City, MO 64180-0022
Phone (303) 643-1099

Other identifiers 2

IdentifierTypeStateIssuer
CU0562OtherCOMEDICARE RAILROAD
04005070MedicaidCO

Other names 2

  • SHCW SENIOR WEST Doing business as
  • St Anthony Hospital Senior Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040319000609 CO Part B Supplier - Clinic/Group Practice 7214827492 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: Lakewood, CO; Westminster, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Geriatric Medicine Associates PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9100 E Mineral Cir
Fl 4
Centennial, CO 80112

11700 W 2nd Pl
Ste Ii
Lakewood, CO 80228

400 W 144th Ave
Unit 260
Westminster, CO 80023
Phone (720) 627-0240

8510 Bryant St
Ste 350
Westminster, CO 80031
Phone (303) 430-2640

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1146960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1952350100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022",
            "telephone_number": "303-643-1099",
            "fax_number": "303-643-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 W 2ND PL",
            "address_2": "PLAZA II STE 450",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281704",
            "telephone_number": "303-825-1234",
            "fax_number": "303-321-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-07",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-825-1234",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CU0562",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04005070",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHCW SENIOR WEST",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Anthony Hospital Senior Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.

Verify at the official NPI Registry.