Unknown Individual – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1588762181

Unknown Individual is a healthcare provider. based in Denver, Colorado. specializing in Sports Medicine (Orthopaedic Surgery) Physician. They hold a License No. DR0039585 (CO). The NPI Number for Unknown Individual is 1588762181

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1588762181
Phone
(303) 321-6600
Address
4700 HALE PKWY STE 550
Deactivation Date
26 December 2024

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3033216600
Graduation Year
1993 (33 years ago)
PAC ID
6002855392
Group Practice PAC ID
2365714540
Professional Enrollment ID
I20050426001322
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Hale Parkway, Denver, Denver County, Colorado, 80220, United States

    DENVER, CO 802204053

    Phone: (303) 321-6600

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $369.

Total Amount is formed as General ($369) + Research ($0) + Ownership ($0) = $369.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Gemini Mountain Medical, LLC ($156).

Total Amount

$369

General + Research + Ownership

Payments

8

Total payment records

General Amount

$369

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg2,16122$0
99213Established patient office or other outpatient visit, 20-29 minutes167122$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg10532$0
20610Aspiration and/or injection of fluid from large joint8567$0
73030X-ray of shoulder, minimum of 2 views8165$0
View full utilization report →

Insurance plans in this area (ZIP 80220)

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Provider's Procedures

Unknown Individual performs procedures in Sports Medicine (Orthopaedic Surgery) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYCO20610Aspiration and/or injection of large joint or joint capsule8772

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365714540View full group profile
NameSpecialtyState
-CO
-VA
Physical Therapist In Private PracticeCO
Occupational Therapist In Private PracticeTX
Physician AssistantCO
Physician AssistantCO
Orthopedic SurgeryCO
-CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1588762181 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Denver?
Public fields place Unknown Individual around Denver, Colorado. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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