Active NPI
Peter Drake, MD
- Emergency Medicine Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DR.0071785
- Practice address
- 777 Bannock St # Mc0108
Denver, CO 80204-4507 - Phone
- (303) 602-5176
- NPI assigned
- Mar 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 72985 | AZ | |
| Emergency Medicine Physician | 207P00000X | 04-49555 | KS | |
| Emergency Medicine Physician | 207P00000X | DR.0071785 | CO | Primary |
Addresses
Primary practice location
777 Bannock St # Mc0108
Denver, CO 80204-4507
Mailing address
11820 Destination Dr
Broomfield, CO 80021-2518
Phone (720) 848-0000
Other practice location 1
12020 Colorado Blvd
Thornton, CO 80241-3562
Phone (720) 848-0000
Other practice location 2
11820 Destination Dr
Broomfield, CO 80021-2518
Phone (720) 848-0000
Organizations & group practices 16
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.
-
- Emergency Medicine Physician
- Trinidad, CO
- NPI 1295178978
AZ, Emergency Medicine, KS
-
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
CO
-
- Family Medicine Physician
- Monte Vista, CO
- NPI 1083012504
-
- Medicare Defined Swing Bed Hospital Unit
- La Jara, CO
- NPI 1164499141
-
- Critical Access Hospital Clinic/Center
- La Jara, CO
- NPI 1194792762
-
- Medicare Defined Swing Bed Hospital Unit
- Alamosa, CO
- NPI 1609003250
-
- Rural Health Clinic/Center
- Antonito, CO
- NPI 1821057860
-
- Rural Health Clinic/Center
- La Jara, CO
- NPI 1942511019
-
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Central Michigan College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lutheran Hospital Association of the San Luis ValleyInnova Emergency Medical Associates PC
Practice addresses (Care Compare)
19021 US Hwy 285
La Jara, CO 81140-9410
Phone (719) 274-5121
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375
315 W 15TH St
Liberal, KS 67901-2455
Phone (620) 624-1651
Hospital & facility affiliations
- Kingman Regional Medical Center
- Southwest Medical Center
- San Luis Valley Regional Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, TX, AZ, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231027002667 | CO | Practitioner - Emergency Medicine | 2163878000 | Reassigns benefits to 1 organization |
| I20240727000709 | TX | Practitioner - Emergency Medicine | 2163878000 | Reassigns benefits to 1 organization |
| I20240926002249 | AZ | Practitioner - Emergency Medicine | 2163878000 | Reassigns benefits to 1 organization |
| I20240930001408 | KS | Practitioner - Emergency Medicine | 2163878000 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72985 | AZ | MD | Emergency Medicine Physician |
| DR.0071785 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes Hospital of Garnett Inc | Current | Accepting new patients | |
| Saint Luke'S Hospital of Allen County, Inc | Current | Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Gila River Health Care | Current | Accepting new patients | |
| Lutheran Hospital Association of the San Luis Valley | Current | Accepting new patients | |
| Saint Luke'S Hospital of Allen County, Inc | Current | Accepting new patients | |
| Innova Emergency Medical Associates PC | Emergency Medicine | Current | Accepting new patients |
| Southwest Medical Center | Past | Accepting new patients |
Locations
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511
310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510
19021 US Highway 285
La Jara, CO 81140
Phone (719) 274-5121
9878 W Belleview Ave
Littleton, CO 80123
Phone (303) 978-1316
421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105
111 S 9th St
Humboldt, KS 66748
Phone (620) 365-3115
3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000
315 W 15th St
Liberal, KS 67901
Phone (620) 624-1651
Interoperability endpoints
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1124655600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11820 DESTINATION DR",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800212518",
"telephone_number": "720-848-0000",
"fax_number": "303-460-6197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST # MC0108",
"city": "DENVER",
"state": "CO",
"postal_code": "802044507",
"telephone_number": "303-602-5176"
}
],
"practiceLocations": [
{
"address_1": "12020 Colorado Blvd",
"address_purpose": "LOCATION",
"city": "Thornton",
"state": "CO",
"postal_code": "802413562",
"country_code": "US",
"telephone_number": "720-848-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11820 Destination Dr",
"address_purpose": "LOCATION",
"city": "Broomfield",
"state": "CO",
"postal_code": "800212518",
"country_code": "US",
"telephone_number": "720-848-0000",
"fax_number": "303-460-6197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRAKE",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-25",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "72985",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "04-49555",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "DR.0071785",
"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 Sep 11, 2026; 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.