Organization Active NPI

Family Centered Medicine, Inc

  • General Practice Physician
  • Denver, CO
National Provider Identifier
1972773232
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FAMILY CENTERED MEDICINE, INC
Practice address
2121 S Oneida St Ste 248
Denver, CO 80224-2551
Phone
(303) 504-0600
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Mr. Peter Thomas Prutch, NPNPI 1497792543
Title
Owner
Phone
(303) 504-0600

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2121 S Oneida St Ste 248
Denver, CO 80224-2551

Mailing address

2121 S Oneida St Ste 248
Denver, CO 80224-2551
Phone (303) 504-0600

Other identifiers 1

IdentifierTypeStateIssuer
15883825MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051017000587 CO Part B Supplier - Clinic/Group Practice 3870519101 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1096374Family Centered Medicine, Inc2121 S Oneida St #248, Denver, CO 80224Certificate of waiverMar 2, 2027

National Provider Directory

National Provider Directory

Locations

2121 S Oneida St
Ste 248
Denver, CO 80224
Phone (303) 504-0600

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1972773232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S ONEIDA ST STE 248",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242551",
            "telephone_number": "303-504-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S ONEIDA ST STE 248",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242551",
            "telephone_number": "303-504-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CENTERED MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "PRUTCH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-504-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15883825",
            "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 Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.