COLORADO PATHOLOGY CONSULTANTS PC – Anatomic Pathology & Clinical Pathology Physician, NPI 1124090154
Anatomic Pathology & Clinical Pathology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for COLORADO PATHOLOGY CONSULTANTS PC
695 S Broadway
Suite 100
Denver, CO 802094003
Phone: (303) 899-6900
Fax: (303) 899-6999
Type: Location
1024 Central Park Dr
Steamboat Springs, CO 804878813
Phone: (970) 871-2350
Type: Location
8300 W 38th Ave
Wheat Ridge, CO 800336005
Phone: (877) 701-8188
Type: Location
1375 E 19th Ave
Denver, CO 802181114
Phone: (303) 812-2000
Type: Location
200 Exempla Cir
Lafayette, CO 800263370
Phone: (877) 701-8188
Type: Location
14275, Midway Road, Addison, Dallas County, Texas, 75001, United States
SUITE 400
ADDISON, TX 750013614
Phone: (877) 701-8188
Fax: (303) 403-3904
Type: Mailing
1600 PRAIRIE CENTER PKWY
BRIGHTON, CO 806014006
Phone: (877) 701-8188
Type: Location
695, South Broadway, Baker, Denver, Denver County, Colorado, 80209, United States
SUITE 100
DENVER, CO 802094003
Phone: (303) 899-6900
Fax: (303) 899-6999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-03-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040322001731 | O | Independent Clinical Laboratory | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80209)
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