MARIO J IMOLA MD
NPI 1932101490
Otolaryngology - Facial Plastic Surgery in Englewood, CO

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
3600 S LOGAN ST, SUITE 100, ENGLEWOOD, CO 80113(303) 839-7980(303) 839-7936 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mario J Imola Md NPPES

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

MARIO J IMOLA MD (NPI 1932101490) is an individual facial plastic surgery provider in Englewood, Colorado, licensed in Colorado (38335) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1932101490
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameMARIO J IMOLACredential: MD
Location Address3600 S LOGAN ST, SUITE 100Englewood, CO 80113-3766
Mailing Address3600 S Logan St, Suite 100Englewood, CO 80113-3766 · (303) 839-7980 · Fax (303) 839-7936
Fax(303) 839-7936
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 15, 2005
Last NPPES UpdateOctober 17, 2011
NPI 1932101490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License Licensed in CO · 38335
Definition
An otolaryngologist who specializes in facial plastic surgery.
3600 S LOGAN ST, Englewood, CO 80113

Other Identifiers 6

Other841553144CO · Tax Id
Medicare ID-Type Unspecified240007576CA · Railroad
Medicaid117142900WY
Medicare UPING11247CO
Medicare ID-Type Unspecified37821CO
Medicaid95739831CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mario J Imola Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789743501
PECOS Enrollment IDI20100514000055
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
3600 S LOGAN ST, SUITE 100
ENGLEWOOD, CO 80113
Pathology (Clinical Pathology/Laboratory Medicine)
3600 S LOGAN ST, SUITE 110
ENGLEWOOD, CO 80113
Naturopath
3600 S LOGAN ST
ENGLEWOOD, CO 80113

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 Mario Imola's NPI number?

The NPI number for Mario Imola is 1932101490. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Mario Imola located?

Mario Imola practices at 3600 S Logan St Suite 100, Englewood, CO 80113. The listed phone number is (303) 839-7980.

What is Mario Imola's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Mario Imola enrolled in Medicare?

Yes. Mario Imola is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mario Imola was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.