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MAGNOLIA MEDICAL COMPANY
NPI 1043769862
Internal Medicine - Addiction Medicine in Denver, CO

Active since September 22, 2016
2925 E COLFAX AVE, DENVER, CO 80206(303) 209-5115(720) 638-5562 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2024, Jul 9, 2018, May 9, 2018 and 3 more (6 updates tracked since 2016).

About Magnolia Medical Company NPPES

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

MAGNOLIA MEDICAL COMPANY (NPI 1043769862) is a healthcare organization registered as an addiction medicine in Denver, Colorado and active in the NPI registry since September 2016. The organization lists Pradeep Raj Rai, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1043769862
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameMAGNOLIA MEDICAL COMPANY
Location Address2925 E COLFAX AVEDenver, CO 80206-1604
Mailing AddressPo Box 29605, Dept # 800927Phoenix, AZ 85038-9605 · (303) 209-5115 · Fax (720) 638-5562
Phone(303) 209-5115
Fax(720) 638-5562
Organization SubpartNo
Authorized OfficialPradeep Raj RaiMedical Director · (303) 209-5115
Enumeration DateSeptember 22, 2016
Last NPPES UpdateFebruary 17, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1043769862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 06D2121590 (CO)
2925 E COLFAX AVE, Denver, CO 80206
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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 2

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

MAGNOLIA MEDICAL COMPANY
Internal Medicine (Addiction Medicine)
2925 E COLFAX AVE
DENVER, CO 80206
Denver County (303) 209-5115
RONALD KIMBEL LPCC
Counselor (Mental Health)
2925 E COLFAX AVE
DENVER, CO 80206
Denver County (303) 209-5115

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 Magnolia Medical Company's NPI number?

The NPI number for Magnolia Medical Company is 1043769862. It was assigned to this organization in the NPPES registry on September 22, 2016.

Where is Magnolia Medical Company located?

Magnolia Medical Company is located at 2925 E Colfax Ave, Denver, CO 80206. The listed phone number is (303) 209-5115.

What is Magnolia Medical Company's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Magnolia Medical Company was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.