Colorado Medical Group, PLLC
NPI 1053928234ActiveOrganization· Surgery, Vascular Surgery· Englewood, CO
Surgery, Vascular Surgery in Englewood, Colorado, registered in NPPES in September 2020, part of Colorado Medical Group, PLLC. The authorized official on file is Grace Simmons, Credentialing Director.
Overview
| NPI | 1053928234 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Colorado Medical Group, PLLC |
| NPI issued | Sep 30, 2020 |
| Last updated in NPPES | Jul 24, 2023 |
| Certified by provider | Jul 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
| Surgery | 208600000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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