Active NPI
Mary Gay Josephine Cruz Marangola, D.O.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Aurora, CO
National Provider Identifier
1154776078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- DR.0066233
- Practice address
- 12605 E 16TH Ave
Aurora, CO 80045-2545 - Phone
- (720) 848-0000
- NPI assigned
- Apr 28, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | DR.0066233 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | DR.0066233 | CO | Primary |
Addresses
Primary practice location
12605 E 16TH Ave
Aurora, CO 80045-2545
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other names 1
- Mary Gay Josephin Gaurano Cruz
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210803000265 | CO | Practitioner - Hospice/Palliative Care | 5698069763 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0066233 | CO | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tru Community Care | Hospice and Palliative Medicine | Current | Accepting new patients |
| Baseline Healthcare Inc. | Past | Accepting new patients | |
| Palo Community Healthcare, LLC | Past | Accepting new patients | |
| Mesa Vista Healthcare LLC | Past | Accepting new patients | |
| Tru Community Care | Past | Accepting new patients | |
| Heights Healthcare Company LLC | Past | Accepting new patients | |
| Broomfield Skilled Nursing and Rehabilitation Center, LLC | Hospice and Palliative Medicine | Past | Accepting new patients |
Locations
2594 Trailridge Dr E
Lafayette, CO 80026
Phone (303) 449-7740
2594 Trailridge Dr E
Ste A
Lafayette, CO 80026
Phone (303) 449-7740
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.
-
- Community Based Hospice Care Agency
- Lafayette, CO
- NPI 1477556934
CO, Hospice and Palliative Medicine
-
- Skilled Nursing Facility
- Boulder, CO
- NPI 1194311571
-
- Skilled Nursing Facility
- Broomfield, CO
- NPI 1376540583
Hospice and Palliative Medicine
-
- Skilled Nursing Facility
- Longmont, CO
- NPI 1699755660
-
- Skilled Nursing Facility
- Boulder, CO
- NPI 1912610890
-
- Skilled Nursing Facility
- Boulder, CO
- NPI 1508550997
-
- PACE Provider Organization
- Lafayette, CO
- NPI 1083073050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1154776078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12605 E 16TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452545",
"telephone_number": "720-848-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARANGOLA",
"first_name": "MARY GAY JOSEPHINE",
"middle_name": "CRUZ",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-28",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CO",
"license": "DR.0066233",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "CO",
"license": "DR.0066233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY GAY JOSEPHIN",
"last_name": "CRUZ",
"middle_name": "GAURANO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.