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Individual provider Active NPI

Mary Ann Degroote, M.D.

  • Infectious Disease Physician
  • Wheat Ridge, CO
National Provider Identifier
1083696827
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
31125 Issued in CO
Practice address
3885 Upham St
Ste 200
Wheat Ridge, CO 80033-4880
Phone
(303) 425-9245
Fax
(303) 425-1378
NPI assigned
Nov 17, 2005
Last updated
Jun 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 31125 CO Primary

Addresses

Primary practice location

3885 Upham St
Ste 200
Wheat Ridge, CO 80033-4880

Mailing address

PO Box 1449
Wheat Ridge, CO 80034-1449
Phone (303) 425-9245

Other identifiers 1

IdentifierTypeStateIssuer
01311257MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031229000913 CO Practitioner - Infectious DiseasePractitioner - Internal Medicine 2163320169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

3885 Upham
Suite 200
Wheat Ridge, CO 80033-4800

3885 Upham St
Suite 200
Wheat Ridge, CO 80033-4800
Phone (303) 425-9245

4800 Riverbend Rd
Suite 200
Boulder, CO 80301-2636
Phone (303) 415-8850

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Infectious Disease Consultants, P.C. Infectious Disease CurrentSince Jun 17, 2011 Accepting new patients
Western Infectious Disease Consultants, P.C. Infectious Disease Current Accepting new patients
Boulder Community Health CurrentSince Apr 1, 2021 Accepting new patients
Boulder Community Health Current Accepting new patients
Boulder Community Health Past Accepting new patients
Western Infectious Disease Infusion Center, Inc Infectious Disease Past Accepting new patients
South Denver Infectious Disease Specialists PC Infectious Disease Past Accepting new patients

Locations

4800 Riverbend Rd
Ste 200
Boulder, CO 80301
Phone (303) 415-8850

3885 Upham St
Ste 200
Wheat Ridge, CO 80033
Phone (303) 425-9245

7760 W 38th Ave
Ste 290
Wheat Ridge, CO 80033
Phone (303) 424-2913

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 43

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1083696827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800341449",
            "telephone_number": "303-425-9245",
            "fax_number": "303-425-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 UPHAM ST",
            "address_2": "STE 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334880",
            "telephone_number": "303-425-9245",
            "fax_number": "303-425-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROOTE",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CO",
            "license": "31125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01311257",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.