Individual provider Active NPI

Leon Samuel Greos, MD

  • Allergy & Immunology Physician
  • Centennial, CO
National Provider Identifier
1003887738
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
DR.0028923 Issued in CO
Practice address
13111 E Briarwood Ave Ste 340
Centennial, CO 80112-3913
Phone
(303) 632-3694
Fax
(303) 632-3692
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X DR.0028923 CO Primary

Addresses

Primary practice location

13111 E Briarwood Ave Ste 340
Centennial, CO 80112-3913

Mailing address

125 Rampart Way Ste 200
Denver, CO 80230-6429
Phone (720) 858-7550

Other identifiers 1

IdentifierTypeStateIssuer
01289230MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0028923COMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Allergy and Asthma Centers, PC Specialist CurrentSince Jul 25, 2021 Accepting new patients
Colorado Allergy and Asthma Centers, PC Specialist PastSince Jul 25, 2021 Accepting new patients
Colorado Allergy and Asthma Centers PastSince Jan 15, 1993 Accepting new patients

Locations

13111 E Briarwood Ave
Ste 340
Centennial, CO 80112
Phone (303) 632-3694

125 Rampart Way
Ste 200
Denver, CO 80230
Phone (720) 858-7550

Organizations & group practices 3

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1003887738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RAMPART WAY STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306429",
            "telephone_number": "720-858-7550",
            "fax_number": "720-858-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 E BRIARWOOD AVE STE 340",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123913",
            "telephone_number": "303-632-3694",
            "fax_number": "303-632-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREOS",
        "first_name": "LEON",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "DR.0028923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01289230",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.