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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: July 26, 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
Phone(303) 468-7246
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
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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

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 · Jul 31, 2026
CLIA Number06D2135220
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2023
Certificate Expiration DateJuly 31, 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLORADO PAIN PRACTICE, PLLC
Clinic/Center (Pain)
12596 W BAYAUD AVE STE 350
LAKEWOOD, CO 80228
Jefferson County (303) 468-7246
ELIZABETH ANNE HAMMOND NP-C
Nurse Practitioner (Family)
12596 W BAYAUD AVE STE 350
LAKEWOOD, CO 80228
Jefferson County (303) 468-7246
JAMIE XIONG APRN, RN
Nurse Practitioner
12596 W BAYAUD AVE STE 350
LAKEWOOD, CO 80228
Jefferson County (303) 468-7246
JASON KRUTSCH MD
Pain Medicine (Interventional Pain Medicine)
12596 W BAYAUD AVE STE 350
LAKEWOOD, CO 80228
Jefferson County (303) 468-7246

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.

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 with the weekly NPPES data releases published by CMS.