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2ND HOME MEDICAL CENTER PLLC
NPI 1104790294
Internal Medicine in Denver, CO

Active since October 01, 2025CLIA 06D2336109 · Waiver
6880 E EVANS AVE, DENVER, CO 80224(303) 999-7763(720) 367-5443 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2026, Oct 6, 2025 (2 updates tracked since 2025).

About 2nd Home Medical Center Pllc NPPES

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

2ND HOME MEDICAL CENTER PLLC (NPI 1104790294) is a healthcare organization registered as an internal medicine in Denver, Colorado and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Sami Mitri, Physician, as its authorized official.

NPPES Registry Identity

NPI1104790294
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business Name2ND HOME MEDICAL CENTER PLLC
Location Address6880 E EVANS AVEDenver, CO 80224-2330
Mailing Address3131 S Vaughn Way Ste 600Aurora, CO 80014-3508 · (303) 999-7763 · Fax (720) 367-5443
Phone(303) 999-7763
Fax(720) 367-5443
Organization SubpartNo
Authorized OfficialSami MitriPhysician · (810) 240-7859
Enumeration DateOctober 1, 2025
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1104790294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6880 E EVANS AVE, Denver, CO 80224
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

2nd Home Medical Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to 2nd Home Medical Center PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Christopher Johnson, D.O.
Family Practice
NPI 1801163639
6880 E EVANS AVE
Denver, CO 80224
(303) 999-7763
✔ PECOS✔ Accepts MedicareSame address
Ali Moridi
Nurse Practitioner
NPI 1568391969
6880 E EVANS AVE
Denver, CO 80224
(720) 386-8000
✔ PECOS✔ Accepts MedicareSame address
Sami Mitri, D.O.
Hospitalist
NPI 1811254394
7700 S BROADWAY
Littleton, CO 80122
(303) 730-8900
✔ PECOS✔ Accepts Medicare8.1 mi
Mousa Sawaged, MD
Internal Medicine
NPI 1992449813
106 BLANCA AVE
Alamosa, CO 81101
(720) 871-7771
✔ PECOS✔ Accepts Medicare161 mi

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 of Waiver 06D2336109

2nd Home Medical Center PLLC · Denver, CO
Active · expires Dec 22, 2027
CLIA Number06D2336109
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorSami Mitri
Laboratory Phone(720) 386-8000
Laboratory Location2nd Home Medical Center PLLC6880 E Evans Ave, Denver, CO 80224
CLIA data matches this NPI record on: Address Name
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 2nd Home Medical Center PLLC's NPI number?

The NPI number for 2nd Home Medical Center PLLC is 1104790294. It was assigned to this organization in the NPPES registry on October 1, 2025.

Where is 2nd Home Medical Center PLLC located?

2nd Home Medical Center PLLC is located at 6880 E Evans Ave, Denver, CO 80224. The listed phone number is (303) 999-7763.

What is 2nd Home Medical Center PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is 2nd Home Medical Center PLLC enrolled in Medicare?

Yes. 2nd Home Medical Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 2nd Home Medical Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to 2nd Home Medical Center PLLC, in Family Practice, Hospitalist, Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does 2nd Home Medical Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2336109) is associated with this NPI, valid through December 22, 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 2nd Home Medical Center PLLC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.