COAL CREEK FAMILY MEDICINE
NPI 1942407622
Specialist in Louisville, CO
About Coal Creek Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COAL CREEK FAMILY MEDICINE (NPI 1942407622) is a healthcare organization registered as a specialist in Louisville, Colorado and active in the NPI registry since June 2007. The organization holds a CLIA Microscopy certificate valid through November 21, 2026 and lists Donielle Dutton, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coal Creek Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Coal Creek Family Medicine, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 for Provider-Performed Microscopy Procedures (PPMP) 06D0682380
Coal Creek Family Medicine · Louisville, COFrequently 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 Coal Creek Family Medicine's NPI number?
The NPI number for Coal Creek Family Medicine is 1942407622. It was assigned to this organization in the NPPES registry on June 27, 2007.
Where is Coal Creek Family Medicine located?
Coal Creek Family Medicine is located at 1044 S 88th St Ste 200, Louisville, CO 80027. The listed phone number is (303) 666-7119.
What is Coal Creek Family Medicine's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Coal Creek Family Medicine enrolled in Medicare?
Yes. Coal Creek Family Medicine is registered in the Medicare PECOS enrollment system.
When is Coal Creek Family Medicine's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Coal Creek Family Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Family Practice, reassign their Medicare billing to Coal Creek Family Medicine. 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 and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coal Creek Family Medicine hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D0682380) is associated with this NPI, valid through November 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Coal Creek Family Medicine was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Coal Creek Family Medicine · NPI 1942407622
Specialist organization in Louisville, Colorado. Organization record, active in the CMS NPPES registry since June 27, 2007.
## Identity
- **NPI:** 1942407622 (Entity type: Organization)
- **Enumerated:** June 27, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Donielle Dutton, PRACTICE MANAGER
## Practice location
- **Address:** 1044 S 88TH ST, STE 200, Louisville, CO 80027-9417
- **Phone:** (303) 666-7119 · **Fax:** (303) 666-5995
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2008
- **Other identifiers:** Medicare ID-Type Unspecified C363008 (CO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942407622) · Data from the CMS NPPES public registry.