Orthopedic Centers of Colorado · Orthopaedic Surgery Physician

145 Inverness Dr E Ste 120, Englewood, CO 80112-5172

Overview

Orthopedic Centers of Colorado is a Orthopaedic Surgery Physician (organization) practicing in Englewood, Colorado. The National Provider Identifier (NPI) is #1639784721, which was assigned on September 15, 2020, and the registration record was last updated on June 7, 2021. The practitioner's main practice location is at 145 Inverness Dr E Ste 120, Englewood, CO 80112-5172; the contact telephone number is 3036997325. The primary taxonomy of Orthopedic Centers of Colorado is Orthopaedic Surgery Physician (207X00000X). The authorized official for Orthopedic Centers of Colorado is Davis K Hurley (President).

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Provider Information

NPI1639784721
Entity TypeOrganization
Organization NameORTHOPEDIC CENTERS OF COLORADO
Provider NameORTHOPEDIC CENTERS OF COLORADO
Practice Address145 Inverness Dr E Ste 120
Englewood
CO 80112-5172
Practice Telephone3036997325
Mailing Address8101 E Lowry Blvd Ste 120
Denver
CO 80230-7195
Mailing Telephone3038061998
Certification Date2021-06-07
Enumeration Date2020-09-15
Last Update Date2021-06-07
Is Organization SubpartY
Parent Organization Legal Business NameORTHOPEDIC CENTERS OF COLORADO

Authorized Official Information

Official NameDAVIS K HURLEY
Official TitlePRESIDENT
CredentialMD
Telephone3033449090

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207X00000XOrthopaedic Surgery193200000X MULTI-SPECIALTY GROUP
N207XP3100XOrthopaedic SurgeryPediatric Orthopaedic Surgery193200000X MULTI-SPECIALTY GROUP
N207XS0106XOrthopaedic SurgeryHand Surgery193200000X MULTI-SPECIALTY GROUP
N207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery193200000X MULTI-SPECIALTY GROUP
N207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine193200000X MULTI-SPECIALTY GROUP
N207XX0004XOrthopaedic SurgeryFoot and Ankle Surgery193200000X MULTI-SPECIALTY GROUP
N207XX0005XOrthopaedic SurgerySports Medicine193200000X MULTI-SPECIALTY GROUP
N207XX0801XOrthopaedic SurgeryOrthopaedic Trauma193200000X MULTI-SPECIALTY GROUP
N225100000XPhysical Therapist193200000X MULTI-SPECIALTY GROUP
N225X00000XOccupational Therapist193200000X MULTI-SPECIALTY GROUP
N332B00000XDurable Medical Equipment & Medical Supplies
N363A00000XPhysician Assistant193200000X MULTI-SPECIALTY GROUP
N363L00000XNurse Practitioner193200000X MULTI-SPECIALTY GROUP

Other Provider Names

Other Organization NameType
Peak Physical Therapy & WellnessDoing Business As Name

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Orthopedic Centers of Colorado 2925 Professional Pl Ste 201, Colorado Springs, CO 80904-8133Orthopaedic Surgery Physician2020-09-13
Orthopedic Centers of Colorado 145 Inverness Dr E Ste 100, Englewood, CO 80112-5172Orthopaedic Surgery Physician2017-08-22
Orthopedic Centers of Colorado 3455 Lutheran Parkway, Suite 105, Wheat Ridge, CO 80033Orthopaedic Surgery Physician2017-06-27

Taxonomy Information

Primary Taxonomy

Code207X00000X
TaxonomyOrthopaedic Surgery Physician
ClassificationOrthopaedic Surgery
GroupingAllopathic & Osteopathic Physicians
Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Other Taxonomy

Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
ClassificationOrthopaedic Surgery
SpecializationPediatric Orthopaedic Surgery
GroupingAllopathic & Osteopathic Physicians
Definition: An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new]

Other Taxonomy

Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
ClassificationOrthopaedic Surgery
SpecializationHand Surgery
GroupingAllopathic & Osteopathic Physicians
Definition: An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Other Taxonomy

Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
ClassificationOrthopaedic Surgery
SpecializationAdult Reconstructive Orthopaedic Surgery
GroupingAllopathic & Osteopathic Physicians
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Other Taxonomy

Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
ClassificationOrthopaedic Surgery
SpecializationOrthopaedic Surgery of the Spine
GroupingAllopathic & Osteopathic Physicians
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Other Taxonomy

Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
ClassificationOrthopaedic Surgery
SpecializationFoot and Ankle Surgery
GroupingAllopathic & Osteopathic Physicians
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definition added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

Other Taxonomy

Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
ClassificationOrthopaedic Surgery
SpecializationSports Medicine
GroupingAllopathic & Osteopathic Physicians
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Other Taxonomy

Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
ClassificationOrthopaedic Surgery
SpecializationOrthopaedic Trauma
GroupingAllopathic & Osteopathic Physicians
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Other Taxonomy

Code225100000X
TaxonomyPhysical Therapist
ClassificationPhysical Therapist
GroupingRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Notes: Source: American Physical Therapy Association [1/1/2020: definition modified] Additional resources: https://www.apta.org/PTCareers/RoleofaPT/

Other Taxonomy

Code225X00000X
TaxonomyOccupational Therapist
ClassificationOccupational Therapist
GroupingRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Other Taxonomy

Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
ClassificationDurable Medical Equipment & Medical Supplies
GroupingSuppliers
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Other Taxonomy

Code363A00000X
TaxonomyPhysician Assistant
ClassificationPhysician Assistant
GroupingPhysician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Other Taxonomy

Code363L00000X
TaxonomyNurse Practitioner
ClassificationNurse Practitioner
GroupingPhysician Assistants & Advanced Practice Nursing Providers
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Tampa General Medical Group Inc 17222 Hospital Blvd Ste 238, Brooksville, FL 34601-8925Orthopaedic Surgery Physician2025-03-07
North Florida Surgeons, Pa 4304 N Davis Hwy Ste A, Pensacola, FL 32503-2718Orthopaedic Surgery Physician2025-03-03
North Florida Surgeons, Pa 742 Harrison Ave, Panama City, FL 32401-2524Orthopaedic Surgery Physician2025-03-04
Medical Practices of Antietam LLC 11110 Medical Campus Rd Ste 205, Hagerstown, MD 21742-6797Orthopaedic Surgery Physician2025-03-07
North Florida Surgeons, Pa 4415 Us Highway 331 S, Defuniak Springs, FL 32435-6307Orthopaedic Surgery Physician2025-03-04
North Florida Surgeons, Pa 2636 Jenks Ave, Panama City, FL 32405-4387Orthopaedic Surgery Physician2025-03-04
Ortholonestar, PLLC 7718 Garth Road, Baytown, TX 77521Orthopaedic Surgery Physician2025-03-06
Andrew S Lee Md PC 8475 Michael Cherry Ave Unit 105, Las Vegas, NV 89113-4516Orthopaedic Surgery Physician2025-03-03
North Florida Surgeons, Pa 206 W Highway 98, Port St Joe, FL 32456-1302Orthopaedic Surgery Physician2025-03-04
Jefferson Community Physicians 601 Walnut St, Suite L50, Philadelphia, PA 19106-3305Orthopaedic Surgery Physician2025-03-06
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Location Information

Street Address 145 INVERNESS DR E STE 120
CityENGLEWOOD
StateCO
Zip Code80112-5172
CountryUS

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Rebekah Jane Long-Pigue 145 Inverness Dr E Ste 120, Englewood, CO 80112-5172Orthopedic Physical Therapist2021-08-24
Kelly Reimus 145 Inverness Dr E Ste 120, Englewood, CO 80112-5172Physical Therapist2022-05-05
Shannon Reynolds 145 Inverness Dr E Ste 120, Englewood, CO 80112-5172Occupational Therapist2020-02-08
Griffin Ritter 145 Inverness Dr E Ste 120, Englewood, CO 80112-5172Physical Therapy Assistant2023-10-17
Evangeline Liu · Evangeline Ji Liu 145 Inverness Dr E Ste 120, Englewood, CO 80112-5172Physical Therapist2017-04-17
Paul Gomez Tandoc 145 Inverness Dr E Ste 120, Englewood, CO 80112-5172Occupational Therapist2011-12-21
Michael Bross 145 Inverness Dr E Ste 120, Englewood, CO 80112-5172Occupational Therapist2019-11-19
Kristi Curtis 145 Inverness Dr E Ste 120, Englewood, CO 80112-5172Physical Therapy Assistant2023-10-17
Sara Noelle Cote 145 Inverness Dr E Ste 120, Englewood, CO 80112-5172Occupational Therapist2021-03-09

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Cara Patton 145 Inverness Dr E Ste 300, Englewood, CO 80112-5172Physician Assistant2019-05-22
Orthopedic Centers of Colorado LLC 145 Inverness Dr E Ste 220, Englewood, CO 80112-5172Orthopaedic Surgery Physician2017-08-22
Sarah Racine 145 Inverness Dr E Ste 220, Englewood, CO 80112-5172Surgical Physician Assistant2016-04-06
Orthopedic Centers of Colorado 145 Inverness Dr E Ste 100, Englewood, CO 80112-5172Orthopaedic Surgery Physician2017-08-22
Judith Emily Kopinski 145 Inverness Dr E Ste 300, Englewood, CO 80112-5172Adult Reconstructive Orthopaedic Surgery Physician2009-05-06
Jocelyn Gibbs 145 Inverness Dr E Ste 220, Englewood, CO 80112-5172Surgical Physician Assistant2023-03-31
Alex Latham 145 Inverness Dr E Ste 220, Englewood, CO 80112-5172Physician Assistant2018-04-20
Shawn Franklin 145 Inverness Dr E Ste 220, Englewood, CO 80112-5172Physical Therapist2024-05-20
Portercare Adventist Health System 145 Inverness Dr E Ste 220, Englewood, CO 80112-5172Orthopaedic Surgery Physician2023-11-09
Healthone Clinic Services - Bariatric Medicine LLC 145 Inverness Dr E Ste 200, Englewood, CO 80112-5172Surgery Physician2020-02-21
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Peak Surgical Center, LLC 145 Inverness Drive East, Suite 350, Englewood, CO 80112Orthopaedic Surgery Physician2019-09-26
Sauder Psychology, Inc 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112Psychologist2019-12-19
Jillian Blueford 6906 South Holly Circle, Suite 304, Centennial, CO 80112Mental Health Counselor2021-02-11
Barbara J Cain Reunion Rehabilitation Hospital Inverness, 372 Inverness Drive South, Englewood, CO 80112Family Nurse Practitioner2021-04-21
Evyn E Fickau 7200 E Dry Creek Rd, Bldg C Ste 203, Centennial, CO 80112Clinical Social Worker2025-01-29
Vanessa Mena 7339 S Tucson Way, C2, Centennial, CO 80112Massage Therapist2021-12-06
Genoa Healthcare LLC 345 Inverness Drive, South, Building B, Suite 240, Englewood, CO 80112Durable Medical Equipment & Medical Supplies2022-08-02
Lovejoy Counseling 12835 East Arapahoe, Tower 2, Suite 440, Centennial, CO 80112Mental Health Counselor2019-07-09
Mimi Lea Davidson 8223 S. Quebec St., Suiite C, Centennial, CO 80112Critical Care Medicine Registered Nurse2024-04-12
Myappstorebiz 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112Special Hospital2019-09-11
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Orthopedic Centers of Colorado, LLC 2430 Research Pkwy Ste 100, Colorado Springs, CO 80920-1093Orthopaedic Surgery Physician2020-09-15
Orthopedic Centers of Colorado, LLC 2801 Youngfield St Ste 150, Golden, CO 80401-0209Orthopaedic Surgery Physician2017-09-01
Orthopedic Centers of Colorado LLC 2430 Research Pkwy Ste 205, Colorado Springs, CO 80920-1093Orthopaedic Surgery Physician2021-06-18
Orthopedic Centers of Colorado LLC 11960 Lioness Way Ste 260, Parker, CO 80134-5640Orthopaedic Surgery Physician2018-10-22
Orthopedic Centers of Colorado, LLC 14100 E Arapahoe Rd Ste 210, Centennial, CO 80112-4028Orthopaedic Surgery Physician2022-06-30
Orthopedic Centers of Colorado LLC 1411 S Potomac St Ste 400, Aurora, CO 80012-4540Orthopaedic Surgery Physician2020-09-14
Orthopedic Centers of Colorado, LLC 4700 E. Hale Parkway, Suite 550, Denver, CO 80220Orthopaedic Surgery Physician2018-10-16
Orthopedic Centers of Colorado, LLC 3455 Lutheran Pkwy Ste 105, Wheat Ridge, CO 80033-6028Orthopaedic Surgery Physician2022-08-09
Orthopedic Centers of Colorado LLC 8101 E Lowry Blvd Ste 230, Denver, CO 80230-7195Orthopaedic Surgery Physician2018-10-22
Orthopedic Centers of Colorado LLC 1263 Lake Plaza Dr Ste 210, Colorado Springs, CO 80906-3511Orthopaedic Surgery Physician2021-01-25

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

SubjectTransparency and Disclosure
JurisdictionFederal
Data ProviderNational Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Sourcedownload.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.