Individual provider Active NPI

David Drucker

  • Ophthalmology Physician
  • Denver, CO
National Provider Identifier
1124052675
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20580 Issued in CO
Practice address
1255 19TH St
Suite 101
Denver, CO 80202-1459
Phone
(303) 293-9311
Fax
(303) 293-8028
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20580 CO Primary

Addresses

Primary practice location

1255 19TH St
Suite 101
Denver, CO 80202-1459

Mailing address

1255 19TH St
Suite 101
Denver, CO 80202-1459
Phone (303) 293-9311

Other identifiers 10

IdentifierTypeStateIssuer
0793502OtherCOAETNA
118650534030OtherCOHUMANA
181542901OtherCORAILROAD MEDICARE
01340132MedicaidCO
01205806MedicaidCO
0401163MedicaidCO
0533470OtherCOCIGNA
920421020632OtherCOPACIFICARE COLORADO
26501OtherCOBLUE CROSS
840857121001OtherCOROCKY MOUNTAIN HMO

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
I20070816000236 CO Practitioner - Ophthalmology 4688766983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Levinson Eye Clinic PCGroup PAC ID 4587768015, 2 clinicians

Practice addresses (Care Compare)

4545 E 9TH Ave
Suite 270
Denver, CO 80220-3929
Phone (303) 393-0347

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20580COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Levinson Eye Clinic PC CurrentSince May 4, 2019 Accepting new patients

Locations

4545 E 9th Ave
Ste 270
Denver, CO 80220
Phone (303) 393-0347

Organizations & group practices 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1124052675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 19TH ST",
            "address_2": "SUITE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021459",
            "telephone_number": "303-293-9311",
            "fax_number": "303-293-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 19TH ST",
            "address_2": "SUITE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021459",
            "telephone_number": "303-293-9311",
            "fax_number": "303-293-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUCKER",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "20580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0793502",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "118650534030",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "181542901",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01340132",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01205806",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0401163",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0533470",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE COLORADO",
            "identifier": "920421020632",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "26501",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HMO",
            "identifier": "840857121001",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.