Individual provider Active NPI

Matthew Nichols, M.D

  • Gastroenterology Physician
  • Lone Tree, CO
National Provider Identifier
1952451379
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
41703 Issued in CO
Practice address
10103 Ridgegate Pkwy Ste 312
Lone Tree, CO 80124-5525
Phone
(303) 788-8888
Fax
(866) 456-4594
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 41703 CO Primary

Addresses

Primary practice location

10103 Ridgegate Pkwy Ste 312
Lone Tree, CO 80124-5525

Mailing address

10103 Ridgegate Pkwy Ste 312
Lone Tree, CO 80124-5525
Phone (303) 788-8888

Other practice location 1

499 E Hampden Ave Ste 420
Englewood, CO 80113-2794
Phone (303) 788-8888

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
I20070720000349 CO Practitioner - Internal MedicinePractitioner - Gastroenterology 4880795889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
University of Texas Medical Branch at Galveston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10103 Ridgegate Pkwy
Suite 312
Lone Tree, CO 80124-5525
Phone (303) 788-8888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy67
Upper gastrointestinal (GI) endoscopy for acid reflux55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41703COMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Denver Gastroenterology, PC Gastroenterology CurrentSince Dec 10, 2021 Accepting new patients

Locations

499 E Hampden Ave
Ste 420
Englewood, CO 80113
Phone (303) 788-8888

10103 Ridgegate Pkwy
Ste 312
Lone Tree, CO 80124
Phone (303) 788-8888

Interoperability endpoints

  • Direct secure messaging: matthew.nichols.1@3461.direct.athenahealth.com

Organizations & group practices 2

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.

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1952451379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 312",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "303-788-8888",
            "fax_number": "866-456-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 312",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "303-788-8888",
            "fax_number": "866-456-4594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 E Hampden Ave Ste 420",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132794",
            "country_code": "US",
            "telephone_number": "303-788-8888",
            "fax_number": "866-896-1158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "41703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.