Individual provider Active NPI

Eric Ryan Marable, MD

  • Pediatric Anesthesiology Physician
  • Colorado Springs, CO
National Provider Identifier
1164715108
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
DR.0053703 Issued in CO
Practice address
4090 Briargate Pkwy
Colorado Springs, CO 80920-7815
Phone
(720) 777-1234
NPI assigned
May 24, 2011
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 53703 CO
Pediatric Anesthesiology Physician 207LP3000X DR.0053703 CO Primary

Addresses

Primary practice location

4090 Briargate Pkwy
Colorado Springs, CO 80920-7815

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

333 W Hampden Ave
Suite #600
Englewood, CO 80110-2330
Phone (303) 761-5646

Other practice location 2

333 W Hampden Ave
Suite #600
Englewood, CO 80110-2330
Phone (303) 761-5646

Other practice location 3

1400 E Boulder St Ste 1508
Colorado Springs, CO 80909
Phone (719) 365-6999

Other identifiers 1

IdentifierTypeStateIssuer
89730232MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150818004893 CO Practitioner - AnesthesiologyPractitioner - Pediatric Medicine 0244476430 Reassigns benefits to 1 organization
I20160411000377 IN Practitioner - Anesthesiology 0244476430 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53703COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Anesthesiology Associates-Pediatrics, LLC Anesthesiology CurrentSince Jan 2, 2025 Accepting new patients
Children's Hospital Colorado Current Accepting new patients
University Physicians, Incorporated CurrentSince Jul 1, 2020 Accepting new patients
Iu Anesthesiology Associates, LLC Anesthesiology CurrentSince May 1, 2016 Accepting new patients
University Physicians Incorporated CurrentSince Jul 1, 2020 Accepting new patients
University Physicians Incorporated Anesthesiology Current Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

469 State Highway 7
Broomfield, CO 80023
Phone (720) 478-5000

1400 E Boulder St
Ste 1508
Colorado Springs, CO 80909
Phone (719) 365-6999

1400 E Boulder St
Ste 2508
Colorado Springs, CO 80909
Phone (719) 365-1292

4090 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 305-1234

Dept 1061
Denver, CO 80256

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

1811 Plaza Dr
Highlands Ranch, CO 80129
Phone (720) 478-0108

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0076

1130 W Michigan St
Rm 204
Indianapolis, IN 46202
Phone (317) 274-0269

702 Barnhill Dr
Indianapolis, IN 46202
Phone (317) 274-0273

Interoperability endpoints

  • Direct secure messaging: emarable51039@direct.childrenscolorado.org

Organizations & group practices 6

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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1164715108",
    "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": "4090 BRIARGATE PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207815",
            "telephone_number": "720-777-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 W Hampden Ave",
            "address_2": "Suite #600",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801102330",
            "country_code": "US",
            "telephone_number": "303-761-5646",
            "fax_number": "303-761-9280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 W Hampden Ave",
            "address_2": "Suite #600",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801102330",
            "country_code": "US",
            "telephone_number": "303-761-5646",
            "fax_number": "303-761-9280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Boulder St Ste 1508",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80909",
            "country_code": "US",
            "telephone_number": "719-365-6999",
            "fax_number": "719-365-2837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARABLE",
        "first_name": "ERIC",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "53703",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CO",
            "license": "DR.0053703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89730232",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.