Individual provider Active NPI

Matthew J Markowski, MD

  • Pediatrics Physician
  • Denver, CO
National Provider Identifier
1083795876
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR.0055009 Issued in CO
Practice address
1258 S Pearl St Ste 110
Denver, CO 80210-1538
Phone
(303) 399-7970
Fax
(303) 399-7905
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DR.0055009 CO Primary

Addresses

Primary practice location

1258 S Pearl St Ste 110
Denver, CO 80210-1538

Mailing address

2975 Roslyn St Unit 100
Denver, CO 80238-3326
Phone (303) 399-7900

Other identifiers 1

IdentifierTypeStateIssuer
58729551MedicaidCO

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
I20180109001077 CO Practitioner - Pediatric Medicine 2961761499 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0055009COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Colorado Current Accepting new patients
Colorado Kids Pediatrics Pediatrics PastSince Mar 27, 2022 Accepting new patients
Village Pediatrics PastSince Sep 1, 2019 Accepting new patients
Castle Rock Pediatrics PLLC Past Accepting new patients
Colorado Kids Pediatrics Pediatrics PastSince Mar 27, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mmarkowski93585@direct.childrenscolorado.org
  • FHIR API: https://api.platform.athenahealth.com/7956/brand/3/csg/1/fhir/r4

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1083795876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 ROSLYN ST UNIT 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383326",
            "telephone_number": "303-399-7900",
            "fax_number": "303-399-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 S PEARL ST STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101538",
            "telephone_number": "303-399-7970",
            "fax_number": "303-399-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOWSKI",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0055009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58729551",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.