SOUTH SUBURBAN FAMILY MEDICINE
NPI 1053489021
Family Medicine in Littleton, CO
About South Suburban Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH SUBURBAN FAMILY MEDICINE (NPI 1053489021) is a healthcare organization registered as a family medicine in Littleton, Colorado and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through March 31, 2027 and lists Jeffry N. Gerber, President Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Suburban Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to South Suburban Family Medicine, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D1011085
South Suburban Family Medicine · Littleton, COFrequently 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 South Suburban Family Medicine's NPI number?
The NPI number for South Suburban Family Medicine is 1053489021. It was assigned to this organization in the NPPES registry on November 30, 2006.
Where is South Suburban Family Medicine located?
South Suburban Family Medicine is located at 7720 S Broadway Ste 480, Littleton, CO 80122. The listed phone number is (303) 346-9490.
What is South Suburban Family Medicine's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is South Suburban Family Medicine enrolled in Medicare?
Yes. South Suburban Family Medicine is registered in the Medicare PECOS enrollment system.
When is South Suburban Family Medicine's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through South Suburban Family Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to South Suburban Family Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Suburban Family Medicine hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D1011085) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for South Suburban Family Medicine was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# South Suburban Family Medicine · NPI 1053489021
Family Medicine organization in Littleton, Colorado. Organization record, active in the CMS NPPES registry since November 30, 2006.
## Identity
- **NPI:** 1053489021 (Entity type: Organization)
- **Enumerated:** November 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jeffry Gerber, PRESIDENT OWNER
## Practice location
- **Address:** 7720 S BROADWAY STE 480, Littleton, CO 80122-2600
- **Phone:** (303) 346-9490 · **Fax:** (303) 346-9309
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2021
- **Other identifiers:** Medicaid 19305851 (CO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053489021) · Data from the CMS NPPES public registry.