Andrea Isabella Fuentealba Cargill, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

TL.0009046 Issued in CO

Practice address

12631 East 17TH Avenue, Ms 8200
Room 2414
Aurora, CO 80045

Phone

(303) 724-9245

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: afuentealbacargill262826@direct.childrenscolorado.org

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.

• Children's Hospital Colorado

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1174282776
  NPD

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1164156527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 UINTA WAY APT 303",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80230",
            "telephone_number": "303-724-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12631 EAST 17TH AVENUE, MS 8200",
            "address_2": "ROOM 2414",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "303-724-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTEALBA CARGILL",
        "first_name": "ANDREA",
        "middle_name": "ISABELLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "TL.0009046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Fuchs, MD
• Skylar Fuchs, MA
• Allison Fudalski, PA-C
• Ahd Fudl, MD
• Carlos Eduardo Fuenmayor, CSA
• Charles Ernest Fuenzalida, MD
• Stephen Ernest Fuest, MD
• Anne Louise Fuhlbrigge, MD MS
• Robert Conrad Fuhlbrigge, M.D., PH.D.
• Peter Glen Fuhr, MD

• Diagnostic Radiology Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Diagnostic Radiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.

Verify at the official NPI Registry.