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COLORADO RETINA ASSOCIATES, PLLC
NPI 1154955896
Clinic/Center - Medical Specialty in Golden, CO

Active since March 02, 2020
400 INDIANA ST STE 310, GOLDEN, CO 80401(303) 261-1600(303) 261-1601 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2024, Dec 2, 2022, Nov 16, 2021 and 2 more (5 updates tracked since 2020).

About Colorado Retina Associates, Pllc NPPES

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

COLORADO RETINA ASSOCIATES, PLLC (NPI 1154955896), doing business as Colorado Retina Associates, Pc, is a healthcare organization registered as a medical specialty in Golden, Colorado and active in the NPI registry since March 2020. The organization lists Kylie Wakasugi, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1154955896
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCOLORADO RETINA ASSOCIATES, PLLC
Location Address400 INDIANA ST STE 310Golden, CO 80401-5033
Mailing AddressPo Box 17949Denver, CO 80217-0949 · (303) 261-1600 · Fax (303) 261-1601
Phone(303) 261-1600
Fax(303) 261-1601
Organization SubpartYes
Authorized OfficialKylie WakasugiCredentialing Specialist · (303) 261-1600
Enumeration DateMarch 2, 2020
Last NPPES UpdateDecember 2, 20225 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
✔ NPI 1154955896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X
Also ListedOphthalmology · Uveitis and Ocular Inflammatory DiseaseTaxonomy 207WX0108X
400 INDIANA ST STE 310, Golden, CO 80401
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Other Names 1

Former Legal Business NameColorado Retina Associates, Pc

Other Identifiers 1

Medicaid05958008CO

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 MULTIPLE SINGLE 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.

SALIL SHUKLA MD
Ophthalmology (Retina Specialist)
400 INDIANA ST STE 310
GOLDEN, CO 80401
Jefferson County (303) 261-1600
INTERMOUNTAIN FRONT RANGE, INC.
General Acute Care Hospital
400 INDIANA ST STE 310
GOLDEN, CO 80401
Jefferson County (303) 425-8264
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
General Acute Care Hospital
400 INDIANA ST STE 310
GOLDEN, CO 80401
Jefferson County (303) 425-8264

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 Colorado Retina Associates, PLLC's NPI number?

The NPI number for Colorado Retina Associates, PLLC is 1154955896. It was assigned to this organization in the NPPES registry on March 2, 2020. The provider was formerly known as Colorado Retina Associates, PC.

Where is Colorado Retina Associates, PLLC located?

Colorado Retina Associates, PLLC is located at 400 Indiana St Ste 310, Golden, CO 80401. The listed phone number is (303) 261-1600.

What is Colorado Retina Associates, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Colorado Retina Associates, PLLC was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.