SOUTHWEST HEALTH SYSTEM, INC.
NPI 1316602972
Clinic/Center - Primary Care in Cortez, CO

Active since November 08, 2021
111 N PARK ST, CORTEZ, CO 81321(970) 564-8730 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southwest Health System, Inc. NPPES

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

SOUTHWEST HEALTH SYSTEM, INC. (NPI 1316602972), doing business as Southwest Medical Group Park Street, is a healthcare organization registered as a primary care in Cortez, Colorado and active in the NPI registry since November 2021. The organization lists Rick Shrader, Cfo, as its authorized official.

NPPES Registry Identity

NPI1316602972
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHWEST HEALTH SYSTEM, INC.
Location Address111 N PARK STCortez, CO 81321-3340
Mailing Address1311 N Mildred RdCortez, CO 81321-2231 · (970) 564-2152
Organization SubpartNo
Authorized OfficialRick ShraderCfo · (941) 483-7225
Enumeration DateNovember 8, 2021
NPPES CertifiedOctober 19, 2021
✔ NPI 1316602972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
111 N PARK ST, Cortez, CO 81321

Other Names 1

Doing Business AsSouthwest Medical Group Park Street

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)

Southwest Health System, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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 IDO20031125000607Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

97

Medicare enrollment records show 97 clinicians reassign Medicare billing to Southwest Health System, Inc., which bills Medicare for the services they deliver. Of these, 31 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Family Practice18
Nurse Practitioner13
Internal Medicine12
Emergency Medicine10
Obstetrics/Gynecology10
Pediatric Medicine7
Hospitalist6
General Surgery5
8 other specialties16

Nearest to this location (20)

See all 97
Clinical Social Worker
NPI 1659257137
35 N ASH ST
Cortez, CO 81321
(970) 565-4109
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1255450458
418 S SLIGO ST
Cortez, CO 81321
(970) 565-5455
✔ PECOS0.7 mi
Emergency Medicine
NPI 1922074624
1311 N MILDRED RD
Cortez, CO 81321
(970) 565-6666
✔ PECOS0.8 mi
Emergency Medicine
NPI 1003986076
1311 N MILDRED RD
Cortez, CO 81321
(970) 565-6666
✔ PECOS0.8 mi
Hospitalist
NPI 1720306830
1311 N MILDRED RD
Cortez, CO 81321
(970) 565-6666
✔ PECOS✔ Accepts Medicare0.8 mi
Registered Dietitian or Nutrition Professional
NPI 1750729042
1311 N MILDRED RD
Cortez, CO 81321
(970) 564-2352
0.8 mi
Internal Medicine
NPI 1487848115
1311 N MILDRED RD
Cortez, CO 81321
(970) 565-6666
✔ PECOS0.8 mi
Internal Medicine
NPI 1922212000
1311 N MILDRED RD
Cortez, CO 81321
(970) 564-2035
✔ PECOS✔ Accepts Medicare0.8 mi
Emergency Medicine
NPI 1609210749
1311 N MILDRED RD
Cortez, CO 81321
(970) 565-6666
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1043847338
1311A N MILDRED RD
Cortez, CO 81321
(970) 565-8556
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1811231830
1311A N MILDRED RD
Cortez, CO 81321
(970) 565-8556
✔ PECOS✔ Accepts Medicare0.8 mi
Clinical Social Worker
NPI 1043441348
1311A N MILDRED RD
Cortez, CO 81321
(970) 565-8556
✔ PECOS0.8 mi
Family Practice
NPI 1083926091
1311A N MILDRED RD
Cortez, CO 81321
(970) 565-8556
✔ PECOS✔ Accepts Medicare0.8 mi
Orthopedic Surgery
NPI 1437596103
1311A N MILDRED RD STE A
Cortez, CO 81321
(970) 564-2681
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1851956387
1311A N MILDRED RD
Cortez, CO 81321
(970) 565-8556
✔ PECOS✔ Accepts Medicare0.8 mi
Obstetrics/Gynecology
NPI 1114929783
1311A N MILDRED RD
Cortez, CO 81321
(970) 564-2662
✔ PECOS0.8 mi
General Surgery
NPI 1407853013
1311A N MILDRED RD STE A
Cortez, CO 81321
(970) 564-2681
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1639422801
1311A N MILDRED RD
Cortez, CO 81321
(970) 565-8665
✔ PECOS✔ Accepts Medicare0.8 mi
Pediatric Medicine
NPI 1982827408
1311A N MILDRED RD
Cortez, CO 81321
(970) 565-8665
✔ PECOS0.8 mi
Registered Dietitian or Nutrition Professional
NPI 1538599022
1311 N MILDRED RD
Cortez, CO 81321
(970) 564-2276
0.8 mi
See all 97 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southwest Health System, Inc.'s NPI number?

The NPI number for Southwest Health System, Inc. is 1316602972. It was assigned to this organization in the NPPES registry on November 8, 2021. The provider is doing business as Southwest Medical Group Park Street.

Where is Southwest Health System, Inc. located?

Southwest Health System, Inc. is located at 111 N Park St, Cortez, CO 81321. The listed phone number is (970) 564-8730.

What is Southwest Health System, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Southwest Health System, Inc. enrolled in Medicare?

Yes. Southwest Health System, Inc. is registered in the Medicare PECOS enrollment system.

When is Southwest Health System, Inc.'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 January 31, 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 Southwest Health System, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 97 clinicians in 16 Medicare specialties reassign their Medicare billing to Southwest Health System, Inc.. 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 Family Practice (18), Nurse Practitioner (13) and Internal Medicine (12). Of these, 31 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southwest Health System, Inc. was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.