COLORADO RETINA ASSOCIATES, PLLC
NPI 1508435967
Clinic/Center - Medical Specialty in Denver, CO

NPI Status: Active since June 21, 2021

Contact Information

3401 QUEBEC ST # 105
DENVER, CO
ZIP 80207
Phone: (303) 261-1600
Fax: (303) 261-1601

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  • Organization
  • Clinic/Center
  • Medical Specialty

About COLORADO RETINA ASSOCIATES, PLLC

This page provides the complete NPI Profile along with additional information for Colorado Retina Associates, Pllc, a provider established in Denver, Colorado operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1508435967 assigned on June 2021. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Colorado Retina Associates, Pc. The authorized official of this NPI record is Kylie Wakasugi (Credentialing Specialist)

NPI
1508435967
Provider Legal Name
COLORADO RETINA ASSOCIATES, PLLC
Other Organization Name
COLORADO RETINA ASSOCIATES, PC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
3401 QUEBEC ST # 105 DENVER, CO 80207
Location Phone
(303) 261-1600
Location Fax
(303) 261-1601
Mailing Address
PO BOX 17949 DENVER, CO 80217
Mailing Phone
(303) 261-1600
Mailing Fax
(303) 261-1601
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-21-2021
Last Update Date
11-16-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207WX0107XAllopathic & Osteopathic Physicians

Ophthalmology
Retina Specialist

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KYLIE WAKASUGI

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(303) 261-1600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C807051MEDICAID (05)CO 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508435967, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 8 + 3 + 1 + 0 + 9 + 1 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1508435967.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508435967, enumerated as an "organization" on June 21, 2021.

The provider is located at 3401 QUEBEC ST # 105 DENVER, CO 80207 and the phone number is (303) 261-1600.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.