COLORADO PAIN PRACTICE, PLLC
NPI 1508285776
Anesthesiology - Pain Medicine in Lakewood, CO

Active since April 15, 2014
12596 W BAYAUD AVE STE 350, LAKEWOOD, CO 80228(303) 468-7246(303) 277-0714 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2022, Nov 1, 2018, May 24, 2018 (3 updates tracked since 2018).

About Colorado Pain Practice, Pllc NPPES

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

COLORADO PAIN PRACTICE, PLLC (NPI 1508285776) is a healthcare organization registered as a pain medicine in Lakewood, Colorado and active in the NPI registry since April 2014. The organization lists Robert Moghim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508285776
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameCOLORADO PAIN PRACTICE, PLLC
Location Address12596 W BAYAUD AVE STE 350Lakewood, CO 80228-2019
Mailing Address1355 South Colorado Boulevard, Suite 700Denver, CO 80222 · (303) 282-1520
Fax(303) 277-0714
Organization SubpartNo
Authorized OfficialRobert MoghimCeo · (303) 282-1520
Enumeration DateApril 15, 2014
Last NPPES UpdateJanuary 3, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2022
✔ NPI 1508285776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
12596 W BAYAUD AVE STE 350, Lakewood, CO 80228

Other Names 1

Former Legal Business NameColorado Pain Practice, Pllc

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colorado Pain Practice, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Colorado Pain Practice, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner15
Certified Registered Nurse Anesthetist (CRNA)4
Physical Therapist in Private Practice4
Anesthesiology2
Diagnostic Radiology2
Interventional Radiology1
Physical Medicine and Rehabilitation1

Nearest to this location (20)

See all 29
Nurse Practitioner
NPI 1629580501
12596 W BAYAUD AVE STE 350
Lakewood, CO 80228
(303) 468-7246
✔ PECOSSame address
Anesthesiology
NPI 1902999352
12596 W BAYAUD AVE STE 350
Lakewood, CO 80228
(303) 468-7246
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831599000
12596 W BAYAUD AVE STE 350
Lakewood, CO 80228
(303) 468-7246
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063650083
13952 DENVER WEST PKWY BLDG 53, SUITE 100
Lakewood, CO 80401
(303) 604-5000
✔ PECOS2.3 mi
Nurse Practitioner
NPI 1104341759
755 HERITAGE RD STE 100
Golden, CO 80401
(303) 468-7246
✔ PECOS3.9 mi
Anesthesiology
NPI 1245282862
755 HERITAGE RD SUITE 100
Golden, CO 80401
(303) 277-0700
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1063943611
755 HERITAGE RD STE 100
Golden, CO 80401
(303) 277-0700
✔ PECOS✔ Accepts Medicare3.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1154792638
1400 JACKSON ST
Denver, CO 80206
(303) 388-4461
✔ PECOS✔ Accepts Medicare11 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1992249007
1400 JACKSON ST
Denver, CO 80206
(303) 388-4461
✔ PECOS✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1649620576
8200 E BELLEVIEW AVE #615
Greenwood Village, CO 80111
(303) 694-3333
15 mi
Nurse Practitioner
NPI 1235863119
10900 SMITH RD
Denver, CO 80239
(303) 371-4804
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1336613058
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1003571241
1635 AURORA CT
Aurora, CO 80045
(720) 848-0000
✔ PECOS16 mi
Nurse Practitioner
NPI 1316427495
8671 S QUEBEC ST STE 200
Highlands Ranch, CO 80130
(815) 762-8712
✔ PECOS✔ Accepts Medicare16 mi
Physical Therapist in Private Practice
NPI 1568831121
175 INVERNESS DR W STE 150
Englewood, CO 80112
(303) 694-3333
✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1417206657
29270 EAST SMOKY HILL ROAD
Centennial, CO 80015
(303) 680-0664
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1134529712
2935 BASELINE RD STE 303
Boulder, CO 80303
(785) 341-1384
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1023619715
1419 FLANNAGAN CT
Erie, CO 80516
(832) 492-2959
✔ PECOS25 mi
Nurse Practitioner
NPI 1962031393
12919 STROH RANCH CT UNIT G
Parker, CO 80134
(720) 779-1442
✔ PECOS26 mi
Physical Therapist in Private Practice
NPI 1629379755
399 PERRY ST STE 200
Castle Rock, CO 80104
(720) 815-6692
✔ Accepts Medicare28 mi
See all 29 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

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 Compliance 06D2135220

Colorado Pain Practice PLLC · Denver, CO
Expired · Sep 30, 2026
CLIA Number06D2135220
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2023
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Jason Krutsch
Laboratory Phone(303) 282-1520
Laboratory LocationColorado Pain Practice PLLC1355 South Colorado Blvd Ste 700, Denver, CO 80222
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Pain Practice, PLLC's NPI number?

The NPI number for Colorado Pain Practice, PLLC is 1508285776. It was assigned to this organization in the NPPES registry on April 15, 2014.

Where is Colorado Pain Practice, PLLC located?

Colorado Pain Practice, PLLC is located at 12596 W Bayaud Ave Ste 350, Lakewood, CO 80228. The listed phone number is (303) 468-7246.

What is Colorado Pain Practice, PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Colorado Pain Practice, PLLC enrolled in Medicare?

Yes. Colorado Pain Practice, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colorado Pain Practice, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 7 Medicare specialties reassign their Medicare billing to Colorado Pain Practice, 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 Nurse Practitioner (15), Certified Registered Nurse Anesthetist (CRNA) (4) and Physical Therapist in Private Practice (4). Of these, 3 practice at this address and 7 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 Colorado Pain Practice, PLLC was last updated on January 3, 2022. 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.