Individual provider Active NPI

Dena Cheryl Wilensky Ross, MD, MBA, FAAP

  • Hospitalist Physician
  • Colorado Springs, CO
National Provider Identifier
1043204241
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DR.0060407 Issued in CO
Practice address
4090 Briargate Pkwy
Colorado Springs, CO 80920-7815
Phone
(720) 777-1234
NPI assigned
Sep 2, 2005
Reactivated
Mar 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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 DR.0060407 CO
Hospitalist Physician 208M00000X DR.0060407 CO Primary

Addresses

Primary practice location

4090 Briargate Pkwy
Colorado Springs, CO 80920-7815

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

4675 E 69th Ave
Commerce City, CO 80022-2343
Phone (303) 289-1086

Other practice location 2

13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230509000251 CO Practitioner - HospitalistPractitioner - Pediatric Medicine 2668401001 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0060407COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince May 4, 2023 Accepting new patients
Children's Hospital Colorado Current Accepting new patients
University Physicians Incorporated Pediatrics CurrentSince May 4, 2023 Accepting new patients
Rocky Mountain Youth Medical & Nursing Consultants Inc Pediatrics Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

13123 E 16th Ave
Ste B130
Aurora, CO 80045

6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone (719) 571-1000

4090 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 305-1234

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

Dept 1061
Denver, CO 80256

Interoperability endpoints

  • Direct secure messaging: dross196289@direct.childrenscolorado.org

Organizations & group practices 4

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1043204241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 BRIARGATE PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207815",
            "telephone_number": "720-777-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4675 E 69th Ave",
            "address_purpose": "LOCATION",
            "city": "Commerce City",
            "state": "CO",
            "postal_code": "800222343",
            "country_code": "US",
            "telephone_number": "303-289-1086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13123 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457106",
            "country_code": "US",
            "telephone_number": "720-777-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "DENA",
        "middle_name": "CHERYL WILENSKY",
        "name_prefix": "Dr.",
        "credential": "MD, MBA, FAAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0060407",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0060407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.