Individual provider Active NPI

Thomas G Sirokman, CRNA

  • Certified Registered Nurse Anesthetist
  • Denver, CO
National Provider Identifier
1164478236
Registry record updated Oct 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
60923 Issued in CO
Practice address
4600 S Syracuse St
Ste 932
Denver, CO 80237-2750
Phone
(303) 256-6467
NPI assigned
May 26, 2006
Last updated
Oct 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 60923 CO Primary
Registered Nurse 163W00000X 60923 CO

Addresses

Primary practice location

4600 S Syracuse St
Ste 932
Denver, CO 80237-2750

Mailing address

1922 S Xenia CT
Denver, CO 80231-3331
Phone (303) 752-4541

Other identifiers 1

IdentifierTypeStateIssuer
66980062MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060713000328 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850304916 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
60923COMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2020 Accepting new patients
Arapahoe Gastroenterology Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Centeno-Schultz, Inc PastSince Oct 13, 2005 Accepting new patients
Metro Diag & Anestheslgy PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Metro Diagnostics & Anesthesia Nurse Anesthetist, Certified Registered Past Accepting new patients
Christopher J Centeno, MD, PC Past Accepting new patients
OB GYN Anesthesia PC Past Accepting new patients

Locations

14272 E Evans Ave
Aurora, CO 80014
Phone (303) 425-2800

13111 E Briarwood Ave
Ste 300
Centennial, CO 80112
Phone (303) 671-5533

7000 W Colfax Ave
Lakewood, CO 80214
Phone (303) 671-5553

1001 Southpark Dr
Littleton, CO 80120
Phone (303) 531-5724

9397 Crown Crest Blvd
Parker, CO 80138
Phone (303) 840-1135

10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083

Interoperability endpoints

  • Direct secure messaging: thomas.sirokman.p1@direct.inlandeyespecialists.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1164478236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 S XENIA CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802313331",
            "telephone_number": "303-752-4541",
            "fax_number": "303-752-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 S SYRACUSE ST",
            "address_2": "STE 932",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372750",
            "telephone_number": "303-256-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROKMAN",
        "first_name": "THOMAS",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "60923",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "60923",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66980062",
            "state": "CO"
        }
    ],
    "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 Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.