Individual provider Active NPI

Paul William Schadler, M.D.

  • General Practice Physician
  • Denver, CO
National Provider Identifier
1003827049
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
34894 Issued in CO
Practice address
1202 5TH St
Plaza Building, Suite 150
Denver, CO 80204-2006
Phone
(303) 556-2525
Fax
(303) 556-3881
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34894 CO
Clinical Informatics Physician 2083C0008X 34894 CO
General Practice Physician 208D00000X 34894 CO Primary

Addresses

Primary practice location

1202 5TH St
Plaza Building, Suite 150
Denver, CO 80204-2006

Mailing address

4062 S Newport Way
Denver, CO 80237-2032
Phone (303) 995-6477

Other identifiers 1

IdentifierTypeStateIssuer
37500562MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040119000052 CO Practitioner - Emergency Medicine 6204737646 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34894COMDClinical Informatics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Front Range, Inc. CurrentSince Jul 31, 2013 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2014 Accepting new patients
Intermountain Front Range, Inc. Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2014 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Jul 31, 2013 Accepting new patients
Intermountain Medical Group Denver, LLC Emergency Medicine Current Accepting new patients
Emergency Associates of Wyoming, LLC Emergency Medicine Past Accepting new patients

Locations

2807 Roslyn St
Denver, CO 80238
Phone (303) 403-6333

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

8350 Wcr 13
Unit 160
Firestone, CO 80504
Phone (303) 689-5160

1450 Dexter St
Ste 101
Fort Lupton, CO 80621
Phone (303) 857-2087

500 Discovery Pkwy
Ste 100
Superior, CO 80027
Phone (303) 403-7800

16570 Washington St
Thornton, CO 80023
Phone (303) 498-1885

3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1003827049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 S NEWPORT WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372032",
            "telephone_number": "303-995-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 5TH ST",
            "address_2": "PLAZA BUILDING, SUITE 150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042006",
            "telephone_number": "303-556-2525",
            "fax_number": "303-556-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHADLER",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "34894",
            "primary": false
        },
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "CO",
            "license": "34894",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "34894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37500562",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.