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ADVANCED UROLOGY, PLLC
NPI 1083264113
Urology in Wheat Ridge, CO

Active since September 20, 2019CLIA Certified · 3 labs
3455 LUTHERAN PKWY STE 210, WHEAT RIDGE, CO 80033(303) 985-2550 Get Directions Write a Review

NPPES record last updated: March 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 8, 2025, Dec 17, 2020, Nov 2, 2020 and 2 more (5 updates tracked since 2019).

About Advanced Urology, Pllc NPPES

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

ADVANCED UROLOGY, PLLC (NPI 1083264113) is a healthcare organization registered as an urology in Wheat Ridge, Colorado and active in the NPI registry since September 2019. The organization holds 3 active CLIA laboratory certificates, maintains a secondary practice location in Parker, and lists John Kefer, Physician / Owner, as its authorized official.

NPPES Registry Identity

NPI1083264113
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameADVANCED UROLOGY, PLLC
Location Address3455 LUTHERAN PKWY STE 210Wheat Ridge, CO 80033-6040
Mailing Address10200 Grand Central Ave Ste 220Owings Mills, MD 21117-4366 · (443) 738-2872
Phone(303) 985-2550
Organization SubpartNo
Authorized OfficialJohn KeferPhysician / Owner · (443) 738-2889
Enumeration DateSeptember 20, 2019
Last NPPES UpdateMarch 8, 20255 updates tracked since enumeration
NPPES CertifiedMarch 8, 2025
✔ NPI 1083264113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3455 LUTHERAN PKWY STE 210, Wheat Ridge, CO 80033
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Secondary Practice Location 1

Location 111960 Lioness Way Ste 210Parker, CO 80134-5644 · Phone (303) 695-6106

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

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)

Advanced Urology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20031120000238Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

61

Medicare enrollment records show 61 clinicians reassign Medicare billing to Advanced Urology, PLLC, which bills Medicare for the services they deliver. Of these, 16 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Urology39
Radiation Oncology8
Nurse Practitioner7
Diagnostic Radiology4
Interventional Radiology1
Nuclear Medicine1
Pathology1

Nearest to this location (20)

See all 61
Henry Chu, MD
Pathology
NPI 1558358754
7444 W ALASKA DR STE 250
Lakewood, CO 80226
(303) 592-7284
✔ PECOS✔ Accepts Medicare4.0 mi
Vincent Lombardo, AGNP
Nurse Practitioner
NPI 1598460123
255 S ROUTT ST STE 420
Lakewood, CO 80228
(303) 985-2550
✔ PECOS✔ Accepts Medicare4.3 mi
Jacob Oppenheimer, M.D.
Urology
NPI 1164877809
255 S ROUTT ST STE 420
Lakewood, CO 80228
(303) 985-2550
✔ PECOS✔ Accepts Medicare4.3 mi
Adam Wiggins, MD
Urology
NPI 1437776424
255 S ROUTT ST STE 420
Lakewood, CO 80228
(303) 985-2550
✔ PECOS✔ Accepts Medicare4.3 mi
Brenton Winship, M.D.
Urology
NPI 1235495185
255 S ROUTT ST STE 420
Lakewood, CO 80228
(303) 985-2550
✔ PECOS✔ Accepts Medicare4.3 mi
Thomas Facelle, MD
Urology
NPI 1114227501
400 INDIANA ST SUITE 300
Golden, CO 80401
(303) 985-2550
✔ PECOS✔ Accepts Medicare5.0 mi
Theodore Ning, MD
Urology
NPI 1720172059
400 INDIANA ST SUITE 300
Golden, CO 80401
(303) 885-2550
✔ PECOS✔ Accepts Medicare5.0 mi
David Cahn, MD
Urology
NPI 1275561748
400 INDIANA ST STE 300
Golden, CO 80401
(303) 985-2550
✔ PECOS✔ Accepts Medicare5.0 mi
Derek Zukosky, DO
Urology
NPI 1912942038
400 INDIANA ST STE 300
Golden, CO 80401
(303) 985-2550
✔ PECOS✔ Accepts Medicare5.0 mi
James Jacobs, MD
Radiation Oncology
NPI 1861619173
1375 E 19TH AVE
Denver, CO 80218
(303) 338-4545
✔ PECOS✔ Accepts Medicare6.4 mi
Justin Green, MD
Urology
NPI 1194877928
2045 N FRANKLIN ST
Denver, CO 80205
(303) 338-4545
✔ PECOS✔ Accepts Medicare6.6 mi
Kimberly Dufraux, MS, DNP, NP-C, RN
Nurse Practitioner
NPI 1770723058
7233 CHURCH RANCH BLVD
Westminster, CO 80021
(303) 925-4038
✔ PECOS✔ Accepts Medicare8.2 mi
Benjamin Eilender, MD
Urology
NPI 1407318132
4700 HALE PKWY STE 330
Denver, CO 80220
(303) 532-8007
✔ PECOS✔ Accepts Medicare8.7 mi
Andrew Zilavy, MD
Urology
NPI 1962904110
4700 HALE PKWY STE 330
Denver, CO 80220
(303) 532-8007
✔ PECOS✔ Accepts Medicare8.7 mi
Makaela Mcnett
Nurse Practitioner
NPI 1639548134
9191 GRANT ST
Thornton, CO 80229
(303) 450-4482
✔ PECOS✔ Accepts Medicare8.7 mi
Anish Patel
Urology
NPI 1629605027
799 E HAMPDEN AVE STE 310
Englewood, CO 80113
(303) 586-9495
✔ PECOS9.8 mi
Gordon Mclennan, MD
Diagnostic Radiology
NPI 1922041946
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare13 mi
Charles Anderson, MD
Urology
NPI 1477655090
3 SUPERIOR DR STE 350
Superior, CO 80027
(303) 666-4343
✔ PECOS✔ Accepts Medicare13 mi
Rachael Kjelden, FNP
Nurse Practitioner
NPI 1558855965
3 SUPERIOR DR STE 350
Superior, CO 80027
(303) 666-4343
✔ PECOS14 mi
James Hart, MD
Interventional Radiology
NPI 1457552937
5275 DTC PKWY
Greenwood Village, CO 80111
(303) 695-6106
✔ PECOS✔ Accepts Medicare14 mi
See all 61 clinicians

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 3

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 of Waiver 06D2310948

Advanced Urology, PLLC · Denver, CO
Active · expires Sep 12, 2028
CLIA Number06D2310948
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2026
Certificate Expiration DateSeptember 12, 2028
Laboratory DirectorKelly W. Brown
Laboratory Phone(303) 695-6106
Laboratory LocationAdvanced Urology, PLLC4700 Hale Parkway, Suite 330, Denver, CO 80220
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D1014735

Advanced Urology, PLLC Dba Colorado Urology · Lone Tree, CO
Active · expires Mar 31, 2027
CLIA Number06D1014735
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDr. Jason Greenfield
Laboratory Phone(303) 695-6106
Laboratory LocationAdvanced Urology, PLLC Dba Colorado Urology10535 Park Meadows Blvd, Suite 102, Lone Tree, CO 80124
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D2320995

Advanced Urology, PLLC · Englewood, CO
Active · expires Mar 26, 2027
CLIA Number06D2320995
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorAndrew Zilavy
Laboratory Phone(303) 695-6106
Laboratory LocationAdvanced Urology, PLLC799 E Hampden Ave, Suite 310, Englewood, CO 80113
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Urology, PLLC's NPI number?

The NPI number for Advanced Urology, PLLC is 1083264113. It was assigned to this organization in the NPPES registry on September 20, 2019.

Where is Advanced Urology, PLLC located?

Advanced Urology, PLLC is located at 3455 Lutheran Pkwy Ste 210, Wheat Ridge, CO 80033. The listed phone number is (303) 985-2550.

What is Advanced Urology, PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Advanced Urology, PLLC enrolled in Medicare?

Yes. Advanced Urology, PLLC is registered in the Medicare PECOS enrollment system.

When is Advanced Urology, PLLC'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 February 28, 2027. 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 Advanced Urology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 61 clinicians in 7 Medicare specialties reassign their Medicare billing to Advanced Urology, PLLC. 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. The largest specialties are Urology (39), Radiation Oncology (8) and Nurse Practitioner (7). Of these, 16 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Urology, PLLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Advanced Urology, PLLC was last updated on March 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.