PONDEROSA FAMILY PHYSICIANS PC
NPI 1629021209
Family Medicine in Aurora, CO
About Ponderosa Family Physicians Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PONDEROSA FAMILY PHYSICIANS PC (NPI 1629021209) is a healthcare organization registered as a family medicine in Aurora, Colorado and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through March 3, 2028 and lists Steve P Elliott, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Ponderosa Family Physicians Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Ponderosa Family Physicians PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
Denver, CO 80262
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 for Provider-Performed Microscopy Procedures (PPMP) 06D0510783
Ponderosa Family Physicians · Aurora, COFrequently 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 Ponderosa Family Physicians PC's NPI number?
The NPI number for Ponderosa Family Physicians PC is 1629021209. It was assigned to this organization in the NPPES registry on May 18, 2006.
Where is Ponderosa Family Physicians PC located?
Ponderosa Family Physicians PC is located at 14991 E Hampden Ave Suite 210, Aurora, CO 80014. The listed phone number is (303) 690-4891.
What is Ponderosa Family Physicians PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ponderosa Family Physicians PC enrolled in Medicare?
Yes. Ponderosa Family Physicians PC is registered in the Medicare PECOS enrollment system.
When is Ponderosa Family Physicians PC'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 February 28, 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 Ponderosa Family Physicians PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Ponderosa Family Physicians PC. 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 (10) and General Practice (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ponderosa Family Physicians PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D0510783) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Ponderosa Family Physicians PC was last updated on October 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Ponderosa Family Physicians Pc · NPI 1629021209
Family Medicine organization in Aurora, Colorado. Organization record, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1629021209 (Entity type: Organization)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Steve Elliott, OFFICE MANAGER
## Practice location
- **Address:** 14991 E HAMPDEN AVE, SUITE 210, Aurora, CO 80014
- **Phone:** (303) 690-4891 · **Fax:** (303) 690-5082
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (10), General Practice (1); 4 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 4, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629021209) · Data from the CMS NPPES public registry.