Active NPI
Irina M Pines, MD
- Internal Medicine Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35409
- Practice address
- 777 Bannock St
Denver, CO 80204-4507 - Phone
- (303) 602-4545
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DR.0035409 | CO | |
| Internal Medicine Physician | 207R00000X | 35409 | CO | Primary |
Addresses
Primary practice location
777 Bannock St
Denver, CO 80204-4507
Mailing address
1001 Yosemite St
Denver, CO 80230-6003
Phone (303) 602-4545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28377249 | Medicaid | CO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy of West Denver Limited Partnership
Practice addresses (Care Compare)
13659 E 104TH Ave
Suite 300 400
Commerce City, CO 80022-9402
Phone (720) 506-5340
22 S Adams St
Denver, CO 80209-2908
Phone (303) 321-2452
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35409 | CO | MD | Internal Medicine Physician |
| DR.0035409 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Past | Accepting new patients |
Locations
777 Bannock St
#7782
Denver, CO 80204
Phone (720) 956-2394
777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714
777 Bannock St
Denver, CO 80204
1001 Yosemite St
Lowry, CO 80230
Phone (303) 436-4545
Interoperability endpoints
- ipines10722@direct.dhha.org
Organizations & group practices 4
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.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Physical Therapist
- Denver, CO
- NPI 1164620084
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- Federally Qualified Health Center (FQHC)
- Denver, CO
- NPI 1922049014
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Emergency Care Clinic/Center
- Winter Park, CO
- NPI 1467762435
Hospital
-
- General Acute Care Hospital
- Denver, CO
- NPI 1689624686
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715385600000",
"number": "1124134697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 YOSEMITE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802306003",
"telephone_number": "303-602-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044507",
"telephone_number": "303-602-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINES",
"first_name": "IRINA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2024-05-11",
"certification_date": "2024-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0035409",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "35409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "28377249",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
- Hunter Pine, DDS
- Christopher A Pineda, LPC.0019839
- Kelly Michelle Pineda, R.N.
- William Daniel Pineda, DPT, PT
- Vickie L Piner, RN
- Janelle Pinkerton
- Pinnacle Hospice Care, Inc
- Pinnacle Pediatrics and Internal Medicine Professional LLC
- Pinnacle Pediatrics and Internal Medicine Professional LLC
- Pinnacle Transport LLC, Dba Pinnacle Care Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.