| Summit Medical Consultants Aco | |
|
9250 E Costilla Ave Ste 540 Greenwood Village CO 80112-3648 | |
| (720) 644-9355 | |
| Not Available |
| Full Name | Summit Medical Consultants Aco |
|---|---|
| Speciality | Internal Medicine |
| Location | 9250 E Costilla Ave Ste 540, Greenwood Village, Colorado |
| Authorized Official Name and Position | Rajendra Kadari (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7206449355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Medical Consultants Aco 9250 E Costilla Ave Ste 540 Greenwood Village CO 80112-3648 Ph: (720) 644-9355 | Summit Medical Consultants Aco 9250 E Costilla Ave Ste 540 Greenwood Village CO 80112-3648 Ph: (720) 644-9355 |
| NPI Number | 1891471207 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 2961865993 |
|---|---|
| Medicare Enrollment ID | O20230824000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891471207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Leto Quarles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811917883 PECOS PAC ID: 6507896925 Enrollment ID: I20070717000143 |
| Provider Name | Krystyna M Lindenmuth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437286499 PECOS PAC ID: 5890861868 Enrollment ID: I20080828000202 |
| Provider Name | Frank H Ernst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134340482 PECOS PAC ID: 0446319735 Enrollment ID: I20081030000850 |
| Provider Name | Larry Avis Bourg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205800182 PECOS PAC ID: 0941361406 Enrollment ID: I20081203000336 |
| Provider Name | Abayneh T Woldekidane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679738561 PECOS PAC ID: 2163563909 Enrollment ID: I20091230000668 |
| Provider Name | Rajendra Kadari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598946675 PECOS PAC ID: 7315085792 Enrollment ID: I20100929001365 |
| Provider Name | Shahid Javery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871658567 PECOS PAC ID: 6901930957 Enrollment ID: I20110323000695 |
| Provider Name | Rajeev C Kandukuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770704025 PECOS PAC ID: 0345413530 Enrollment ID: I20111103000616 |
| Provider Name | James S Archuleta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316220742 PECOS PAC ID: 0244498160 Enrollment ID: I20120223000661 |
| Provider Name | Diego M Freitas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487634481 PECOS PAC ID: 3274677307 Enrollment ID: I20140226000791 |
| Provider Name | Todd Harold Shogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861791063 PECOS PAC ID: 4880827708 Enrollment ID: I20140829001334 |
| Provider Name | April Delaine Goggans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780922864 PECOS PAC ID: 2466671185 Enrollment ID: I20140911001200 |
| Provider Name | Kiran Pandit |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174765325 PECOS PAC ID: 0547582660 Enrollment ID: I20141201000465 |
| Provider Name | Ronda M Orndoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033515895 PECOS PAC ID: 6305169236 Enrollment ID: I20141230001538 |
| Provider Name | Wendy Rene Archuleta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538564810 PECOS PAC ID: 6406171545 Enrollment ID: I20150211001618 |
| Provider Name | Ryan C Bradley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922209527 PECOS PAC ID: 1254460280 Enrollment ID: I20150722003653 |
| Provider Name | Carolyn M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861873887 PECOS PAC ID: 2466753793 Enrollment ID: I20151210001788 |
| Provider Name | Jette Rosholm Hogenmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447560065 PECOS PAC ID: 1850690009 Enrollment ID: I20160422000681 |
| Provider Name | Michael G Plachta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154761070 PECOS PAC ID: 3274836127 Enrollment ID: I20161121002016 |
| Provider Name | Vineela Battini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710116348 PECOS PAC ID: 5890942643 Enrollment ID: I20170119000312 |
| Provider Name | Julia Girouard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750827358 PECOS PAC ID: 4183906233 Enrollment ID: I20170125000191 |
| Provider Name | Francis X Palermo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316980972 PECOS PAC ID: 6709782568 Enrollment ID: I20170524000186 |
| Provider Name | Vikas Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295099596 PECOS PAC ID: 6709197866 Enrollment ID: I20171006002907 |
| Provider Name | Julie Ann Yoshimura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073963245 PECOS PAC ID: 4789964024 Enrollment ID: I20171208001574 |
| Provider Name | Pavitra Rajendrabhai Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013270545 PECOS PAC ID: 4880821966 Enrollment ID: I20180524000593 |
| Provider Name | Snehal Patel Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053731497 PECOS PAC ID: 1951692748 Enrollment ID: I20180524000601 |
| Provider Name | Jill Kimiko Inagaki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346634466 PECOS PAC ID: 7911274014 Enrollment ID: I20181017003188 |
| Provider Name | Kindra L Leduc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609350784 PECOS PAC ID: 5395082440 Enrollment ID: I20190128001094 |
| Provider Name | Gabriel E Cintron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184001281 PECOS PAC ID: 8426381062 Enrollment ID: I20190613000187 |
| Provider Name | Kyla Jean Araujo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952955866 PECOS PAC ID: 5092147116 Enrollment ID: I20191112000265 |
| Provider Name | Sofia Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205041167 PECOS PAC ID: 8729411871 Enrollment ID: I20191204001964 |
| Provider Name | Stephanie Lynn Kipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447893110 PECOS PAC ID: 6608202098 Enrollment ID: I20200203001888 |
| Provider Name | Jessica Mae Light |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932734878 PECOS PAC ID: 5092146266 Enrollment ID: I20200504002615 |
| Provider Name | Victoria Moxa Xiong Ngialah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982004982 PECOS PAC ID: 5294159174 Enrollment ID: I20200724000966 |
| Provider Name | Jenna Grace Rawlings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174124838 PECOS PAC ID: 1254742091 Enrollment ID: I20201130000628 |
| Provider Name | Peter M Quansah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700403029 PECOS PAC ID: 5597178871 Enrollment ID: I20210105002080 |
| Provider Name | Alexandra Samas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831586775 PECOS PAC ID: 1153668611 Enrollment ID: I20210201000476 |
| Provider Name | Jack Nicholas Torres |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285052373 PECOS PAC ID: 4789994088 Enrollment ID: I20210318002404 |
| Provider Name | Jeff Allen Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205450202 PECOS PAC ID: 2567879307 Enrollment ID: I20210324000092 |
| Provider Name | Adam Burton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1417480708 PECOS PAC ID: 2062815558 Enrollment ID: I20210721001704 |
| Provider Name | Jessica Paige Lindblad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932496825 PECOS PAC ID: 0244458552 Enrollment ID: I20210824000805 |
| Provider Name | Leighann Marie Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366119356 PECOS PAC ID: 9830595446 Enrollment ID: I20210908000091 |
| Provider Name | Arlen R Stauffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790713139 PECOS PAC ID: 5395842652 Enrollment ID: I20210916000256 |
| Provider Name | Madeline Gabrielle Marlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417613803 PECOS PAC ID: 4082003686 Enrollment ID: I20211122000986 |
| Provider Name | Ekua Antwi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336721976 PECOS PAC ID: 9335534106 Enrollment ID: I20220314000294 |
| Provider Name | Elizabeth Victoria Arbuiso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972250017 PECOS PAC ID: 3678969490 Enrollment ID: I20220404002639 |
| Provider Name | Shannon Guyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043889058 PECOS PAC ID: 1658765615 Enrollment ID: I20220430000039 |
| Provider Name | Pradeep Reddy Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255534343 PECOS PAC ID: 5294927398 Enrollment ID: I20220506000122 |
| Provider Name | Abdel Roberto Marques |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649709890 PECOS PAC ID: 0345667846 Enrollment ID: I20220510002614 |
| Provider Name | Suhitha Madhavaram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609230705 PECOS PAC ID: 4486072923 Enrollment ID: I20220706000348 |
| Provider Name | Brianna Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891414678 PECOS PAC ID: 7618344953 Enrollment ID: I20221031000697 |
| Provider Name | Katherine Pearce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588813208 PECOS PAC ID: 9830255595 Enrollment ID: I20230118001925 |
| Provider Name | Shaun Mcdonald Baillie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699471706 PECOS PAC ID: 2769848712 Enrollment ID: I20230516003726 |
| Provider Name | Kristina Nicole Barber |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215499223 PECOS PAC ID: 9830429687 Enrollment ID: I20230531003625 |
| Provider Name | Rachel Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417651332 PECOS PAC ID: 6608239090 Enrollment ID: I20230901001111 |
| Provider Name | Kailey Leigh Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134804859 PECOS PAC ID: 3476917105 Enrollment ID: I20230914001221 |
| Provider Name | Wendy Renee Batchelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366790156 PECOS PAC ID: 0648544460 Enrollment ID: I20230915000105 |
| Provider Name | Ashley N Soler-acevedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396307633 PECOS PAC ID: 8325492267 Enrollment ID: I20230927000926 |
| Provider Name | Erin Anne Ellsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598448037 PECOS PAC ID: 1557717626 Enrollment ID: I20231025002321 |
| Provider Name | Marie Stephanie Daphnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619657855 PECOS PAC ID: 9931557915 Enrollment ID: I20231201000346 |
| Provider Name | Maggie Kestel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619666971 PECOS PAC ID: 9739538646 Enrollment ID: I20231218000427 |
| Provider Name | Elizabeth P Clark |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1134195993 PECOS PAC ID: 7719030907 Enrollment ID: I20240104002405 |
| Provider Name | Ashwini Gade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619109972 PECOS PAC ID: 6305084344 Enrollment ID: I20240107000080 |
| Provider Name | Amy Beth Foraker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700665510 PECOS PAC ID: 3971954595 Enrollment ID: I20240109000560 |
| Provider Name | Karen N Branham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881473973 PECOS PAC ID: 7113379785 Enrollment ID: I20240118004216 |
| Provider Name | Jessica Bousselaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063294437 PECOS PAC ID: 4082066204 Enrollment ID: I20240123003101 |
| Provider Name | Michele Keffeler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477810190 PECOS PAC ID: 5597089144 Enrollment ID: I20240318003575 |
| Provider Name | Aries Torralba Giabia-mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083473060 PECOS PAC ID: 6901244342 Enrollment ID: I20240404002873 |
| Provider Name | Austin M Boos |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821626870 PECOS PAC ID: 8325460215 Enrollment ID: I20240521003993 |
| Provider Name | Ganga Devi Dangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942062922 PECOS PAC ID: 6800238866 Enrollment ID: I20240523000132 |
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