MOUNTAIN PEAK PRIMARY CARE
NPI 1447935101
Clinic/Center - Primary Care in Denver, CO

Active since June 20, 2023CLIA 06D2289869 · Waiver
9450 E MISSISSIPPI AVE UNIT B, DENVER, CO 80247(720) 710-4933(720) 710-4746 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2023, Jun 20, 2023 (2 updates tracked since 2023).

About Mountain Peak Primary Care NPPES

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

MOUNTAIN PEAK PRIMARY CARE (NPI 1447935101) is a healthcare organization registered as a primary care in Denver, Colorado and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Hadee Ahmadi, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1447935101
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMOUNTAIN PEAK PRIMARY CARE LLC
Location Address9450 E MISSISSIPPI AVE UNIT BDenver, CO 80247-2427
Mailing Address9450 E Mississippi Ave Unit BDenver, CO 80247-2427 · (720) 710-4933 · Fax (720) 710-4746
Fax(720) 710-4746
Organization SubpartNo
Authorized OfficialHadee AhmadiFamily Nurse Practitioner · (720) 427-5929
Enumeration DateJune 20, 2023
Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1447935101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
9450 E MISSISSIPPI AVE UNIT B, Denver, CO 80247

Other Names 1

Doing Business AsMountain Peak Primary Care

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Peak Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mountain Peak Primary Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1578167144
9450 E MISSISSIPPI AVE UNIT B
Denver, CO 80247
(720) 710-4933
✔ PECOS✔ Accepts MedicareSame address

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 06D2289869

Mountain Peak Primary Care · Denver, CO
Active · expires Sep 17, 2027
CLIA Number06D2289869
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorHadee Ahmadi
Laboratory Phone(720) 710-4933
Laboratory LocationMountain Peak Primary Care9450 E Mississippi Ave, Unit B, Denver, CO 80247
CLIA data matches this NPI record on: Address 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 Mountain Peak Primary Care LLC's NPI number?

The NPI number for Mountain Peak Primary Care LLC is 1447935101. It was assigned to this organization in the NPPES registry on June 20, 2023. The provider is doing business as Mountain Peak Primary Care.

Where is Mountain Peak Primary Care LLC located?

Mountain Peak Primary Care LLC is located at 9450 E Mississippi Ave Unit B, Denver, CO 80247. The listed phone number is (720) 710-4933.

What is Mountain Peak Primary Care LLC's specialty?

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

Is Mountain Peak Primary Care LLC enrolled in Medicare?

Yes. Mountain Peak Primary Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Peak Primary Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mountain Peak Primary Care LLC. 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 Mountain Peak Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2289869) is associated with this NPI, valid through September 17, 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 Mountain Peak Primary Care LLC was last updated on July 26, 2023. 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.