Individual provider Active NPI

Diana R Danilenko, MD

  • Maternal & Fetal Medicine Physician
  • Aurora, CO
National Provider Identifier
1043270994
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
DR.0062502 Issued in CO
Practice address
1635 Aurora CT FL 3
Aurora, CO 80045-2541
Phone
(720) 848-4000
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 30909 MN
Neonatal-Perinatal Medicine Physician 2080N0001X 30909 MN
Maternal & Fetal Medicine Physician 207VM0101X DR.0062502 CO Primary

Addresses

Primary practice location

1635 Aurora CT FL 3
Aurora, CO 80045-2541

Mailing address

12631 E 17TH Ave Box B198-5
University of Co Dept of Obstetrics
Aurora, CO 80045
Phone (303) 724-6504

Other practice location 1

12631 E 17th Ave Box B198-5
University of CO Dept of Obstetrics
Aurora, CO 80045
Phone (303) 724-6504

Other practice location 2

3931 Louisiana Ave S
St Louis Park, MN 55426-5000
Phone (952) 993-3230

Other names 1

  • Diana R Danilenko-Dixon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040220000876 MN Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 9931094562 Reassigns benefits to 1 organization
I20220802001135 CO Practitioner - Obstetrics/Gynecology 9931094562 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0062502COMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 5, 2024 Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Family Medicine Current Accepting new patients
Park Nicollet Clinic Family Medicine Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Oct 5, 2024 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Oct 5, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine CurrentSince Oct 5, 2024 Accepting new patients
University Physicians Incorporated Family Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
North Memorial Health Care Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Maternal & Fetal Medicine Past Accepting new patients
Fetal and Women'S Center of Arizona, LLC Past Accepting new patients

Locations

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

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

12631 E 17th Ave
#B1985
Aurora, CO 80045
Phone (303) 724-6504

1635 Aurora Ct
Fl 3
Aurora, CO 80045
Phone (720) 848-1060

Dept 1061
Denver, CO 80256

710 Wellington Ave
Grand Junction, CO 81501
Phone (970) 298-7106

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

9855 Hospital Dr
Ste 275
Maple Grove, MN 55369
Phone (763) 981-3200

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

3931 Louisiana Ave S
St Louis Park, MN 55426
Phone (952) 993-3230

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1043270994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 E 17TH AVE BOX B198-5",
            "address_2": "UNIVERSITY OF CO DEPT OF OBSTETRICS",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "303-724-6504",
            "fax_number": "303-724-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 AURORA CT FL 3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452541",
            "telephone_number": "720-848-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12631 E 17th Ave Box B198-5",
            "address_2": "University of CO Dept of Obstetrics",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80045",
            "country_code": "US",
            "telephone_number": "303-724-6504",
            "fax_number": "303-724-2061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3931 Louisiana Ave S",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554265000",
            "country_code": "US",
            "telephone_number": "952-993-3230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANILENKO",
        "first_name": "DIANA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MN",
            "license": "30909",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MN",
            "license": "30909",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CO",
            "license": "DR.0062502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "DANILENKO-DIXON",
            "middle_name": "R",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.