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MOUNTAIN BLUE CANCER CARE CENTER PC
NPI 1699009084
Internal Medicine - Hematology & Oncology in Englewood, CO

Active since October 01, 2009
3501 S CORONA ST STE 1, ENGLEWOOD, CO 80113(303) 999-6745(303) 586-2228 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 18, 2025, Apr 30, 2021, Nov 9, 2017 (3 updates tracked since 2017).

About Mountain Blue Cancer Care Center Pc NPPES

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

MOUNTAIN BLUE CANCER CARE CENTER PC (NPI 1699009084) is a healthcare organization registered as a hematology & oncology in Englewood, Colorado and active in the NPI registry since October 2009. The organization lists Samir E Witta, Owner, as its authorized official.

NPPES Registry Identity

NPI1699009084
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameMOUNTAIN BLUE CANCER CARE CENTER PC
Location Address3501 S CORONA ST STE 1Englewood, CO 80113-3907
Mailing Address3501 S Corona St Ste 1Englewood, CO 80113-3907 · (303) 999-6745 · Fax (303) 586-2228
Phone(303) 999-6745
Fax(303) 586-2228
Organization SubpartNo
Authorized OfficialSamir E WittaOwner · (303) 999-6745
Enumeration DateOctober 1, 2009
Last NPPES UpdateFebruary 18, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1699009084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in CO · 39764✔ Licensed in CO · CO39762
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3501 S CORONA ST STE 1, Englewood, CO 80113
Open in Google Maps ↗

Other Identifiers 1

Medicaid82076529CO

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 MULTIPLE 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)

Mountain Blue Cancer Care Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mountain Blue Cancer Care Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Samir Witta, MD PHD
Hematology/Oncology
NPI 1013991678
3501 S CORONA ST STE 1
Englewood, CO 80113
(303) 999-6745
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mountain Blue Cancer Care Center PC's NPI number?

The NPI number for Mountain Blue Cancer Care Center PC is 1699009084. It was assigned to this organization in the NPPES registry on October 1, 2009.

Where is Mountain Blue Cancer Care Center PC located?

Mountain Blue Cancer Care Center PC is located at 3501 S Corona St Ste 1, Englewood, CO 80113. The listed phone number is (303) 999-6745.

What is Mountain Blue Cancer Care Center PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mountain Blue Cancer Care Center PC enrolled in Medicare?

Yes. Mountain Blue Cancer Care Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Blue Cancer Care Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hematology/Oncology) reassigns their Medicare billing to Mountain Blue Cancer Care Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mountain Blue Cancer Care Center PC was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.