| Rural Physicians Group-pannu PLLC | |
|
5575 Dtc Pkwy Ste 225 Greenwood Village CO 80111-3073 | |
| (303) 390-1924 | |
| (866) 368-6349 |
| Full Name | Rural Physicians Group-pannu PLLC |
|---|---|
| Speciality | Hospitalist |
| Location | 5575 Dtc Pkwy Ste 225, Greenwood Village, Colorado |
| Authorized Official Name and Position | Sukhbir S Pannu (OWNER) |
| Authorized Official Contact | 7022047747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Physicians Group-pannu PLLC 10624 S Eastern Ave Ste A-263 Henderson NV 89052-2982 Ph: (702) 453-3799 | Rural Physicians Group-pannu PLLC 5575 Dtc Pkwy Ste 225 Greenwood Village CO 80111-3073 Ph: (303) 390-1924 |
| NPI Number | 1861808719 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 12/14/2020 |
| Certification Date | 12/14/2020 |
| Medicare PECOS PAC ID | 0345467486 |
|---|---|
| Medicare Enrollment ID | O20140813000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861808719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Secondary |
| 208M00000X | Hospitalist | () | Primary |
| Provider Name | Kevin S Owens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235332305 PECOS PAC ID: 6709977747 Enrollment ID: I20090623000745 |
| Provider Name | Justin G Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851612600 PECOS PAC ID: 5890962195 Enrollment ID: I20140827003014 |
| Provider Name | Donald Garrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841678489 PECOS PAC ID: 7214285543 Enrollment ID: I20180802003038 |
| Provider Name | Rajesh Mali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083877575 PECOS PAC ID: 3375667462 Enrollment ID: I20181005002180 |
| Provider Name | Megan M Sandmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255789103 PECOS PAC ID: 3072806801 Enrollment ID: I20190828002843 |
| Provider Name | Lance Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477936862 PECOS PAC ID: 2769797703 Enrollment ID: I20190903001647 |
| Provider Name | Ryan Michael Wells |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710997200 PECOS PAC ID: 8224309612 Enrollment ID: I20210906000015 |
| Provider Name | Elizabeth C Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720710395 PECOS PAC ID: 0042680886 Enrollment ID: I20230112000486 |
| Provider Name | Idrees Mohiuddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518372713 PECOS PAC ID: 3274752464 Enrollment ID: I20230126002267 |
| Provider Name | Jessica Cicoria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093205213 PECOS PAC ID: 2365790128 Enrollment ID: I20230630001597 |
| Provider Name | Arin Iman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184696668 PECOS PAC ID: 0941258289 Enrollment ID: I20240702002206 |
| Provider Name | Edouard Tassy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760442875 PECOS PAC ID: 3375781750 Enrollment ID: I20240910004171 |
| Provider Name | Frederick Teribury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982635124 PECOS PAC ID: 1658374384 Enrollment ID: I20240917002717 |
| Provider Name | Jeremy Akers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528438595 PECOS PAC ID: 0648570622 Enrollment ID: I20241231001143 |
| Provider Name | Justin Panzica |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336540749 PECOS PAC ID: 9436378403 Enrollment ID: I20250218001667 |
| Provider Name | Purav Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902338742 PECOS PAC ID: 7719224104 Enrollment ID: I20250331001747 |
| Provider Name | Fahad Jamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881075513 PECOS PAC ID: 1052621323 Enrollment ID: I20250402000868 |
| Provider Name | Sameen Kinza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184185845 PECOS PAC ID: 0941661003 Enrollment ID: I20250520001913 |
| Provider Name | Joseph Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801188933 PECOS PAC ID: 3375874092 Enrollment ID: I20250520001994 |
| Provider Name | Kristin Hildebrandt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962961359 PECOS PAC ID: 0547591646 Enrollment ID: I20250712000272 |
| Provider Name | Carrie Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730529546 PECOS PAC ID: 4981969557 Enrollment ID: I20250930003257 |
| Provider Name | Naomi England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346826054 PECOS PAC ID: 9830588250 Enrollment ID: I20260415002898 |
| Provider Name | Henykumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851754550 PECOS PAC ID: 4587901921 Enrollment ID: I20260515003387 |
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