MOUNTAIN BLUE CANCER CARE CENTER PC
MOUNTAIN BLUE CANCER CARE CENTER PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1699009084, based in Englewood, CO. It is classified under Hematology & Oncology Physician.
Getting there
The practice address on file is 3501 S CORONA ST STE 1, Englewood, CO 80113. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 39764 | CO | Hematology & Oncology Physician primary |
| CO39762 | CO | Hematology & Oncology Physician |
This provider holds licence 39764 issued in CO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8022156132
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Hematology & Oncology covers
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. NUCC Health Care Provider Taxonomy, code 207RH0003X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RH0003X | Hematology & Oncology Physician Hematology & Oncology | 39764 | CO | primary |
| 207RH0003X | Hematology & Oncology Physician Hematology & Oncology | CO39762 | CO |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1699009084 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 1, 2009 |
| Last updated | Feb 18, 2025 |
| Status | Active |
| Practice address |
3501 S CORONA ST STE 1 Englewood, CO 80113 (303) 999-6745 Fax (303) 586-2228 |
| Other identifiers |
82076529
(CO) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 9 | 9 | 0 | 0 | 9 | 0 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 9 | 9 | 0 | 0 | 9 | 0 | 7 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.