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NORTHSTAR UROLOGY
NPI 1730279712
Specialist in Edwards, CO

Active since October 13, 2006
320 BEARD CREEK ROAD, EDWARDS, CO 81632(970) 569-7725 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Northstar Urology NPPES

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

NORTHSTAR UROLOGY (NPI 1730279712) is a healthcare organization registered as a specialist in Edwards, Colorado and active in the NPI registry since October 2006. The organization lists Charles W Crevling, Cfo, as its authorized official.

NPPES Registry Identity

NPI1730279712
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameVVMC DIVERSIFIED SERVICES
Location Address320 BEARD CREEK ROADEdwards, CO 81632
Mailing AddressPo Box 848997Boston, MA 02284-8997 · (970) 777-2834 · Fax (970) 777-2929
Phone(970) 569-7725
Organization SubpartYesParent: Vail Clinic Inc.
Authorized OfficialCharles W CrevlingCfo · (970) 479-7238
Enumeration DateOctober 13, 2006
Last NPPES UpdateApril 27, 2009
✔ NPI 1730279712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CO · 0786
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
320 BEARD CREEK ROAD, Edwards, CO 81632
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Other Names 1

Doing Business AsNorthstar Urology

Other Identifiers 2

Medicare PINCOB4120CO
Medicaid01926721CO

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)

Northstar Urology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Northstar Urology, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Critical Care (Intensivists)4
General Surgery4
Cardiovascular Disease (Cardiology)3
Internal Medicine3
Nurse Practitioner3
Interventional Cardiology2
Plastic and Reconstructive Surgery1

Clinicians, nearest first (20)

Colleen Ihnken, N.P.
Nurse Practitioner
NPI 1124193586
322 BEARD CREEK RD
Edwards, CO 81632
(970) 949-6100
✔ PECOS✔ Accepts Medicare0.1 mi
Dennis Lipton, M.D.
Internal Medicine
NPI 1821135153
28 2ND ST STE 216
Edwards, CO 81632
(970) 446-5050
✔ PECOS✔ Accepts Medicare0.6 mi
Rebecca Novak, FNP
Nurse Practitioner
NPI 1124045141
50 BUCK CREEK RD STE 100
Avon, CO 81620
(970) 945-2840
✔ PECOS3.8 mi
Kelly Fralick, N.P.
Nurse Practitioner
NPI 1487641122
180 S FRONTAGE RD W STE 5900
Vail, CO 81657
(970) 476-1110
✔ PECOS✔ Accepts Medicare11 mi
David Ford, MD
General Surgery
NPI 1871677658
181 W MEADOW DR
Vail, CO 81657
(970) 479-5036
✔ PECOS✔ Accepts Medicare11 mi
Barry Hammaker, MD
General Surgery
NPI 1649241365
181 W MEADOW DR
Vail, CO 81657
(970) 476-5036
✔ PECOS✔ Accepts Medicare11 mi
Turner Lisle, MD
General Surgery
NPI 1477767168
181 W MEADOW DR
Vail, CO 81657
(970) 476-2451
✔ PECOS✔ Accepts Medicare11 mi
Jonathan Sherman, MD
Cardiovascular Disease (Cardiology)
NPI 1871695122
181 W MEADOW DR
Vail, CO 81657
(970) 476-2451
✔ PECOS✔ Accepts Medicare11 mi
Jerry Greenberg, MD
Internal Medicine
NPI 1962498766
108 S FRONTAGE RD W US BANK BUILDING STE 306
Vail, CO 81657
(970) 476-1110
✔ PECOS✔ Accepts Medicare11 mi
William Martin, MD
Plastic and Reconstructive Surgery
NPI 1710042023
406 ELK CIR
Basalt, CO 81621
(312) 371-8570
✔ PECOS✔ Accepts Medicare31 mi
Gerald Myers, M.D.
Cardiovascular Disease (Cardiology)
NPI 1205832722
940 CENTRAL PARK DR SUITE 290
Steamboat Springs, CO 80487
(970) 870-1035
✔ PECOS57 mi
Katherine Schuetze, M.D.
Interventional Cardiology
NPI 1104055060
9195 GRANT ST STE 200
Thornton, CO 80229
(303) 252-0104
✔ PECOS✔ Accepts Medicare87 mi
Stephanie Miller, M.D.
General Surgery
NPI 1952365983
4600 HALE PKWY STE 430
Denver, CO 80220
(303) 296-1370
✔ PECOS88 mi
James Hunt, MD
Critical Care (Intensivists)
NPI 1437205069
7100 E BELLEVIEW AVE STE G10
Greenwood Village, CO 80111
(303) 745-0000
✔ PECOS✔ Accepts Medicare90 mi
Chakradhar Kotaru, M.D.
Critical Care (Intensivists)
NPI 1932209764
7100 E BELLEVIEW AVE STE G10
Greenwood Village, CO 80111
(303) 745-0000
✔ PECOS✔ Accepts Medicare90 mi
Surit Sharma, MD
Critical Care (Intensivists)
NPI 1376557140
7100 E BELLEVIEW AVE STE G10
Greenwood Village, CO 80111
(303) 745-0000
✔ PECOS✔ Accepts Medicare90 mi
Joseph Forrester, M.D.
Critical Care (Intensivists)
NPI 1316951296
5200 DTC PKWY SUITE 400
Greenwood Village, CO 80111
(303) 745-0000
✔ PECOS✔ Accepts Medicare90 mi
Andrew Cohen, MD
Cardiovascular Disease (Cardiology)
NPI 1750377545
1444 S POTOMAC STREET SUITE 300
Aurora, CO 80012
(303) 750-0822
✔ PECOS✔ Accepts Medicare94 mi
Nelson Prager, MD
Interventional Cardiology
NPI 1952397895
1444 S POTOMAC ST STE 300
Aurora, CO 80012
(303) 750-0822
✔ PECOS✔ Accepts Medicare94 mi
Stephen Godar, MD
Internal Medicine
NPI 1992719876
231 PROSPECT AVE SUITE A
Fort Morgan, CO 80701
(970) 867-4911
✔ PECOS✔ Accepts Medicare154 mi

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 Vvmc Diversified Services's NPI number?

The NPI number for Vvmc Diversified Services is 1730279712. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider is doing business as Northstar Urology.

Where is Vvmc Diversified Services located?

Vvmc Diversified Services is located at 320 Beard Creek Road, Edwards, CO 81632. The listed phone number is (970) 569-7725.

What is Vvmc Diversified Services's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Vvmc Diversified Services enrolled in Medicare?

Yes. Vvmc Diversified Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vvmc Diversified Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 7 Medicare specialties reassign their Medicare billing to Vvmc Diversified Services. 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 Critical Care (Intensivists) (4), General Surgery (4) and Cardiovascular Disease (Cardiology) (3). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vvmc Diversified Services was last updated on April 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.