SOUTH ROUTT MEDICAL CENTER HEALTH SERVICE DISTRICT
NPI 1790799104
Family Medicine in Oak Creek, CO

Active since July 28, 2006CLIA 06D0983756 · Certificate of Compliance
300 MAIN STREET, OAK CREEK, CO 80467(970) 736-8118 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2021, Oct 6, 2021 (2 updates tracked since 2021).

About South Routt Medical Center Health Service District NPPES

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

SOUTH ROUTT MEDICAL CENTER HEALTH SERVICE DISTRICT (NPI 1790799104) is a healthcare organization registered as a family medicine in Oak Creek, Colorado and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 26, 2027 and lists Daniel H Smilkstein, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1790799104
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH ROUTT MEDICAL CENTER HEALTH SERVICE DISTRICT
Location Address300 MAIN STREETOak Creek, CO 80467
Mailing AddressPo Box 8Oak Creek, CO 80467-0008
Organization SubpartNo
Authorized OfficialDaniel H SmilksteinMedical Director · (970) 736-8118
Enumeration DateJuly 28, 2006
Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1790799104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 27550
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 MAIN STREET, Oak Creek, CO 80467

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)

South Routt Medical Center Health Service District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to South Routt Medical Center Health Service District, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1750619755
300 MAIN ST.
Oak Creek, CO 80467
(970) 736-8118
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1396906756
300 EAST MAIN STREET
Oak Creek, CO 80467
(970) 736-8118
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1588767545
300 MAIN STREET
Oak Creek, CO 80467
(970) 736-8118
✔ PECOSSame address
General Practice
NPI 1649232653
2930 FORESTVILLE RD
Raleigh, NC 27616
(919) 235-6500
✔ PECOS✔ Accepts Medicare1,573 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 Compliance 06D0983756

South Routt Medical Center · Oak Creek, CO
Active · expires Nov 26, 2027
CLIA Number06D0983756
Laboratory TypePhysician Office
Certificate Effective DateNovember 27, 2025
Certificate Expiration DateNovember 26, 2027
Laboratory DirectorDr. Barbara Novotny
Laboratory Phone(970) 736-8118
Laboratory LocationSouth Routt Medical Center300 Main St, Oak Creek, CO 80467
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 South Routt Medical Center Health Service District's NPI number?

The NPI number for South Routt Medical Center Health Service District is 1790799104. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is South Routt Medical Center Health Service District located?

South Routt Medical Center Health Service District is located at 300 Main Street, Oak Creek, CO 80467. The listed phone number is (970) 736-8118.

What is South Routt Medical Center Health Service District's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is South Routt Medical Center Health Service District enrolled in Medicare?

Yes. South Routt Medical Center Health Service District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Routt Medical Center Health Service District?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to South Routt Medical Center Health Service District, in Family Practice, General Practice and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Routt Medical Center Health Service District hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 06D0983756) is associated with this NPI, valid through November 26, 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 South Routt Medical Center Health Service District was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.