PURE HEALTHCARE OF COLORADO LLC – Multi-Specialty Clinic/Center, NPI 1609400407
Multi-Specialty Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PURE HEALTHCARE OF COLORADO LLC
4179 S RIVERBOAT RD STE 220
TAYLORSVILLE, UT 841232986
Phone: (801) 755-3387
Type: Mailing
222 S MAIN ST STE 500
SALT LAKE CITY, UT 841012275
Phone:
Type: Mailing
320 E FONTANERO ST STE 103
COLORADO SPRINGS, CO 809077535
Phone: (855) 550-3358
Type: Location
400 S McCaslin Blvd Ste 211
Superior, CO 800279701
Phone: (720) 722-6330
Fax: (720) 294-0290
Type: Location
2478 Patterson Rd Ste 20
Grand Junction, CO 815053606
Phone: (970) 822-7700
Fax: (970) 404-8100
Type: Location
1411 S Potomac St Ste 310
Aurora, CO 800124539
Phone: (303) 267-7220
Fax: (303) 479-1179
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: 2020-04-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (193 days ago).
Enrollment records
1
Earliest due date
2025-11-30
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 |
|---|---|---|---|---|
| O20200416000225 | O | Clinic/Group Practice | CO | 2025-11-30 |
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 84123)
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