Individual provider Active NPI

Casey M Aguirre, DO

  • Family Medicine Physician
  • Glenwood Springs, CO
National Provider Identifier
1124258926
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3288 Issued in CO
Practice address
1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206
Phone
(970) 945-2840
Fax
(970) 945-9581
NPI assigned
Jul 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3288 CO Primary

Addresses

Primary practice location

1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206

Mailing address

2700 Gilstrap CT Ste 230
Glenwood Springs, CO 81601-8735
Phone (970) 945-2840

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Family Health Centers 20 clinicians

Practice addresses (Care Compare)

195 W
14TH BLDG C
Rifle, CO 81650-4716
Phone (970) 945-2840

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
I20120813000490 CO Practitioner - Family Practice 4486800182 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3288COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Family Health Centers CurrentSince Apr 3, 2017 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Mountain Family Health Centers Current Accepting new patients
Mountain Family Health Centers CurrentSince Apr 3, 2017 Accepting new patients

Locations

230 Chapel Sq
#D102
Avon, CO 81620

123 Emma Rd
Ste 106
Basalt, CO 81621

123 Emma Rd
Basalt, CO 81621

2700 Gilstrap Ct
Ste 230
Glenwood Springs, CO 81601

1905 Blake Ave
Ste 101
Glenwood Springs, CO 81601

195 W 14th St
Ste C
Rifle, CO 81650

Interoperability endpoints

  • Direct secure messaging: vvh_him@direct.vvh.org
  • Direct secure messaging: casey.aguirre@357756771106820.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1124258926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 GILSTRAP CT STE 230",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816018735",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 BLAKE AVE STE 101",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014206",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "CASEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2021-12-10",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "3288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.