Active NPI
Teresita R Marcelo, M.D.
- General Practice Physician
- Denver, CO
National Provider Identifier
1104085810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 21313
- Practice address
- 1055 Clermont St
Dept of Veteran Affairs Medical Center
Denver, CO 80220-3808 - Phone
- (303) 399-8020
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 21313 | CO | Primary |
Addresses
Primary practice location
1055 Clermont St
Dept of Veteran Affairs Medical Center
Denver, CO 80220-3808
Mailing address
5531 S Telluride CT
Centennial, CO 80015-2645
Phone (303) 627-2443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21313 | CO | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1104085810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5531 S TELLURIDE CT",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800152645",
"telephone_number": "303-627-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 CLERMONT ST",
"address_2": "DEPT OF VETERAN AFFAIRS MEDICAL CENTER",
"city": "DENVER",
"state": "CO",
"postal_code": "802203808",
"telephone_number": "303-399-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCELO",
"first_name": "TERESITA",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "21313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.