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: October 18, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mario Imola reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
3600 S LOGAN ST, SUITE 100
Englewood, CO 80113
  • Reassigned Medicare billing, Colorado enrollment
  • 5 clinicians in this Medicare group
Plastic Surgery Within the Head and Neck
1745 SHEA CENTER DR, SUITE 400
Highlands Ranch, CO 80129
  • Reassigned Medicare billing, Colorado enrollment
  • 58 clinicians in this Medicare group

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

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.

Which organizations bill Medicare for Mario Imola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Imola reassigns Medicare benefits to 2 organizations: Colorado Facial Plastic Surgery Center Inc (Englewood, CO) and Trauma And Emergency Subspecialty Surgeons PLLC (Highlands Ranch, CO). Each 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 Mario Imola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 15 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.