MEDICARE: UNIVERSITY PHYSICIANS INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician

General Provider Information

NPI Number	:	1144966870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY PHYSICIANS INCORPORATED

Provider Business Mailing Address
First Line	:	PO BOX 110429
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80042-0429
Country	:	US
Telephone Number	:	303-493-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4352 TRAIL BOSS DR
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-7512
Country	:	US
Telephone Number	:	303-663-2670
Fax Number	:

Authorized Official
Title or Position	:	ASSOCIATE COMPLIANCE OFFICER
Name	:	LISA DONAHUE
Credential	:
Telephone Number	:	303-493-7300

Provider Enumeration Date	:	05/06/2022
Last Update Date	:	06/12/2025

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