Compassionate Concierge Physicians, LLC
NPI 1003452301ActiveOrganization· Family Medicine· Longmont, CO
Family Medicine in Longmont, Colorado, registered in NPPES in November 2019, part of Compassionate Concierge Physicians, LLC. The authorized official on file is Kirk Ernest Mitchell, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1003452301 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Compassionate Concierge Physicians, LLC |
| NPI issued | Nov 21, 2019 |
| Last updated in NPPES | Aug 12, 2023 |
| Certified by provider | Aug 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (WY) |
|---|
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