Organization Active NPI

Meadows Family Medical Center Inc

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1962440412
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEADOWS FAMILY MEDICAL CENTER INC
Practice address
999 17TH St Ste 500
Denver, CO 80202-2728
Phone
(720) 434-4876
Fax
(303) 225-4246
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Carol Pittman, MD
Title
Owner
Phone
(720) 434-4876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

999 17TH St Ste 500
Denver, CO 80202-2728

Mailing address

999 17TH St Ste 500
Denver, CO 80202-2728
Phone (720) 434-4876

Other identifiers 1

IdentifierTypeStateIssuer
00279315MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040120000416 CO Part B Supplier - Clinic/Group Practice 0446151617 Receives reassigned benefits from 101 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

2818 Grand Vista Cir
Colorado Springs, CO 80904
Phone (719) 632-7000

28000 Meadow Dr
Ste 206
Evergreen, CO 80439
Phone (303) 674-3117

11166 Huron St
Northglenn, CO 80234

Practitioners & affiliated clinicians

Practitioners 101

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

View all 101

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1962440412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 17TH ST STE 500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022728",
            "telephone_number": "720-434-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 17TH ST STE 500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022728",
            "telephone_number": "720-434-4876",
            "fax_number": "303-225-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-434-4876",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00279315",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.