Rocky Mountain Pediatric Cardiology – Pediatric Cardiology Physician, NPI 1497779276
Pediatric Cardiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Rocky Mountain Pediatric Cardiology
1301, Concord Terrace, Sunrise, Broward County, Florida, 33323, United States
SUNRISE, FL 333232843
Phone: (954) 384-0175
Fax: (954) 851-1948
Type: Mailing
2055, High Street, City Park West, Denver, Denver County, Colorado, 80205, United States
STE 255
DENVER, CO 802055663
Phone: (303) 860-9933
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: 2019-02-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (831 days ago).
Enrollment records
2
Earliest due date
2024-02-29
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 |
|---|---|---|---|---|
| O20080214000393 | O | Clinic/Group Practice | NE | TBD |
| O20190218002845 | O | Clinic/Group Practice | KS | 2024-02-29 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 33323)
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