Individual provider Active NPI

Elliott Paul Freudenburg, MD

  • Urology Physician
  • Westminster, CO
National Provider Identifier
1063091718
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
DR.0076694 Issued in CO
Practice address
500 W 144TH Ave Ste 220
Westminster, CO 80023-9328
Phone
(720) 227-0977
NPI assigned
Apr 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X DR.0076694 CO Primary

Addresses

Primary practice location

500 W 144TH Ave Ste 220
Westminster, CO 80023-9328

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230706002624 CA Order and Referring Only - UrologyPractitioner - Urology 2466811674

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical Branch at Galveston, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10200 Grand Central Ave
Suite 220
Owings Mills, MD 21117-4165

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1063091718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 144TH AVE STE 220",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239328",
            "telephone_number": "720-227-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUDENBURG",
        "first_name": "ELLIOTT",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "DR.0076694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.