OrganizationActive
Crossroads Medical Center
NPI 1164048161 · Family Medicine Physician · Boulder, CO
Provider details
- NPI number
- 1164048161
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lauren Jasilli, Practice Owner(303) 444-6400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2760 29th St Ste 2b
Boulder, CO 80301-1221
Phone: (303) 444-6400
Fax: (303) 444-6465
Street-level locationGet directions
Mailing address
2760 29th St Ste 2b
Boulder, CO 80301-1221
Other names (DBA / former)
- Other name
- Carl a Mortiz Jr Mbr
- Other name
- Carl a Mortiz Jr Mbr
- Doing business as
- Crossroads Medical Center LLC
Registry dates
- Enumerated
- 2020-06-25
- Last updated
- 2024-09-27
- Certified
- 2024-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.