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COLORADO ADVANCED ENDOVASCULAR, LLC
NPI 1629829098
Radiology - Vascular & Interventional Radiology in Lakewood, CO

Active since April 01, 2024CLIA 06D2320189 · Waiver
355 UNION BLVD STE 150, LAKEWOOD, CO 80228(720) 669-3036(720) 545-1584 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Colorado Advanced Endovascular, Llc NPPES

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

COLORADO ADVANCED ENDOVASCULAR, LLC (NPI 1629829098) is a healthcare organization registered as a vascular & interventional radiology in Lakewood, Colorado and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through March 12, 2027 and lists Ashley Dorman, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1629829098
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameCOLORADO ADVANCED ENDOVASCULAR, LLC
Location Address355 UNION BLVD STE 150Lakewood, CO 80228-6516
Mailing Address7375 W 52nd Ave Ste 210Arvada, CO 80002-3748 · (303) 223-4448 · Fax (720) 501-5199
Phone(720) 669-3036
Fax(720) 545-1584
Organization SubpartYesParent: Colorado Imaging Associates, Pc
Authorized OfficialAshley DormanPractice Administrator · (720) 669-3036
Enumeration DateApril 1, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1629829098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
355 UNION BLVD STE 150, Lakewood, CO 80228
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Other Names 1

Other NameColorado Imaging Associates, Pc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Advanced Endovascular, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Colorado Advanced Endovascular, LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Diagnostic Radiology9
Interventional Radiology2

Clinicians, nearest first (11)

Joshua Bryant, MD
Diagnostic Radiology
NPI 1952576332
11600 W 2ND PL
Lakewood, CO 80228
(720) 321-0000
✔ PECOS✔ Accepts Medicare0.4 mi
Alan Hise, M.D.
Interventional Radiology
NPI 1447609466
11600 W 2ND PL
Lakewood, CO 80228
(303) 854-9888
✔ PECOS✔ Accepts Medicare0.4 mi
Kurt Husum, M.D.
Diagnostic Radiology
NPI 1386884864
11600 W 2ND PL
Lakewood, CO 80228
(720) 321-0000
✔ PECOS✔ Accepts Medicare0.4 mi
Michael Obrien, MD
Diagnostic Radiology
NPI 1720168172
11600 W 2ND PL
Lakewood, CO 80228
(720) 321-0000
✔ PECOS✔ Accepts Medicare0.4 mi
Matthew Taussig
Diagnostic Radiology
NPI 1689055576
11600 W 2ND PL
Lakewood, CO 80228
(303) 721-0000
✔ PECOS✔ Accepts Medicare0.4 mi
Joseph Tesoriero
Diagnostic Radiology
NPI 1982978268
11600 W 2ND PL
Lakewood, CO 80228
(720) 321-0000
✔ PECOS✔ Accepts Medicare0.4 mi
Blaze Cook, MD
Diagnostic Radiology
NPI 1437296704
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare16 mi
James Tamas, M.D.
Interventional Radiology
NPI 1437512068
14300 ORCHARD PKWY
Westminster, CO 80023
(720) 627-3180
✔ PECOS✔ Accepts Medicare18 mi
Philip Velez, M.D.
Diagnostic Radiology
NPI 1407381262
510 S KINGSHIGHWAY BLVD
Saint Louis, MO 63110
(314) 362-7111
✔ PECOS✔ Accepts Medicare801 mi
Ryan Sydnor, MD
Diagnostic Radiology
NPI 1982868063
4025 N 92ND ST
Wauwatosa, WI 53222
(216) 210-5521
✔ PECOS✔ Accepts Medicare917 mi
Elden Iverson, MD
Diagnostic Radiology
NPI 1992071385
RADIOLOGY ASSOCIATES OF RICHMOND, INC. 2602 BUFORD ROAD
North Chesterfield, VA 23235
(804) 272-8806
✔ PECOS✔ Accepts Medicare1,494 mi

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 06D2320189

Colorado Advanced Endovascular, LLC · Lakewood, CO
Active · expires Mar 12, 2027
CLIA Number06D2320189
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorBlaze J. Cook
Laboratory Phone(720) 669-3036
Laboratory LocationColorado Advanced Endovascular, LLC355 Union Blvd, Suite 100, Lakewood, CO 80228
CLIA data matches this NPI record on: 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 Colorado Advanced Endovascular, LLC's NPI number?

The NPI number for Colorado Advanced Endovascular, LLC is 1629829098. It was assigned to this organization in the NPPES registry on April 1, 2024. The provider is also known as Colorado Imaging Associates, PC.

Where is Colorado Advanced Endovascular, LLC located?

Colorado Advanced Endovascular, LLC is located at 355 Union Blvd Ste 150, Lakewood, CO 80228. The listed phone number is (720) 669-3036.

What is Colorado Advanced Endovascular, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Colorado Advanced Endovascular, LLC enrolled in Medicare?

Yes. Colorado Advanced Endovascular, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colorado Advanced Endovascular, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Colorado Advanced Endovascular, 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. The largest specialties are Diagnostic Radiology (9) and Interventional Radiology (2). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Colorado Advanced Endovascular, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2320189) is associated with this NPI, valid through March 12, 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 Colorado Advanced Endovascular, LLC was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.