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MOUNTAIN BLUE CANCER CARE CENTER
NPI 1013678879
Internal Medicine - Hematology & Oncology in Englewood, CO

Active since January 04, 2022
3501 S CORONA ST STE 1, ENGLEWOOD, CO 80113(303) 999-6745(303) 586-2228 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2024, Jan 6, 2024, Jan 4, 2022 (3 updates tracked since 2022).

About Mountain Blue Cancer Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN BLUE CANCER CARE CENTER (NPI 1013678879) is a healthcare organization registered as a hematology & oncology in Englewood, Colorado and active in the NPI registry since January 2022. The organization lists Samir Witta, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1013678879
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameMOUNTAIN BLUE CANCER CARE CENTER
Location Address3501 S CORONA ST STE 1Englewood, CO 80113-3907
Mailing Address4747 S Downing StEnglewood, CO 80113-5917 · (303) 999-6745 · Fax (303) 586-2228
Phone(303) 999-6745
Fax(303) 586-2228
Organization SubpartNo
Authorized OfficialSamir WittaPractice Manager · (303) 870-3293
Enumeration DateJanuary 4, 2022
Last NPPES UpdateMay 9, 20243 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1013678879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3501 S CORONA ST STE 1, Englewood, CO 80113
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Other Identifiers 1

Medicaid82076529CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMIR EZZELDIN WITTA MD PHD
Internal Medicine (Hematology & Oncology)
3501 S CORONA ST STE 1
ENGLEWOOD, CO 80113
Arapahoe County (303) 999-6745
MK HEALTHCARE PLLC
Nurse Practitioner
3501 S CORONA ST STE 1
ENGLEWOOD, CO 80113
Arapahoe County (720) 487-5628
MOUNTAIN BLUE CANCER CARE CENTER PC
Internal Medicine (Hematology & Oncology)
3501 S CORONA ST STE 1
ENGLEWOOD, CO 80113
Arapahoe County (303) 999-6745

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Blue Cancer Care Center's NPI number?

The NPI number for Mountain Blue Cancer Care Center is 1013678879. It was assigned to this organization in the NPPES registry on January 4, 2022.

Where is Mountain Blue Cancer Care Center located?

Mountain Blue Cancer Care Center is located at 3501 S Corona St Ste 1, Englewood, CO 80113. The listed phone number is (303) 999-6745.

What is Mountain Blue Cancer Care Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Mountain Blue Cancer Care Center was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.