Individual provider Active NPI

Nicholas Breitnauer, MD

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1033538848
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0060751 Issued in CO
Practice address
1339 S Federal Blvd
Denver, CO 80219-4235
Phone
(303) 602-0002
Fax
(303) 602-0050
NPI assigned
Apr 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X CODR0060751 CO
Internal Medicine Physician 207R00000X DR.0060751 CO Primary

Addresses

Primary practice location

1339 S Federal Blvd
Denver, CO 80219-4235

Mailing address

1339 S Federal Blvd
Denver, CO 80219-4235
Phone (303) 602-0002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181101003166 CO Practitioner - Internal Medicine 0749503134 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CODR0060751COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Sep 17, 2018 Accepting new patients
Denver Health and Hospital Authority CurrentSince Sep 17, 2018 Accepting new patients
Denver Health Medical Center Past Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients
Denver Health Past Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients

Locations

1339 S Federal Blvd
Denver, CO 80219
Phone (303) 602-0000

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

777 Bannock St
Denver, CO 80204

Interoperability endpoints

  • Direct secure messaging: nbreitnauer6747@direct.dhha.org

Organizations & group practices 6

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1033538848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194235",
            "telephone_number": "303-602-0002",
            "fax_number": "303-602-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194235",
            "telephone_number": "303-602-0002",
            "fax_number": "303-602-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITNAUER",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2024-05-13",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "CODR0060751",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0060751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.