Organization Active NPI

Michael C Bateman, MD, PC

  • Specialist
  • Denver, CO
National Provider Identifier
1174719538
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
43266 Issued in CO
Legal business name
MICHAEL C BATEMAN, MD, PC
Practice address
4700 Hale Pkwy Ste 220
Denver, CO 80220-4045
Phone
(303) 388-1945
Fax
(303) 388-1945
NPI assigned
Sep 19, 2007
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Michael C Bateman, MDNPI 1871675314
Title
President
Phone
(303) 388-1945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 43266 CO Primary

Addresses

Primary practice location

4700 Hale Pkwy Ste 220
Denver, CO 80220-4045

Mailing address

4700 Hale Pkwy Ste 520
Denver, CO 80220-4053
Phone (303) 388-1945

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071009000994 CO Part B Supplier - Clinic/Group Practice 0042306862 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

4700 Hale Pkwy
Ste 220
Denver, CO 80220
Phone (303) 388-1945

4700 Hale Pkwy
Ste 520
Denver, CO 80220
Phone (303) 321-6608

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1174719538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 HALE PKWY STE 520",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204053",
            "telephone_number": "303-388-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 HALE PKWY STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204045",
            "telephone_number": "303-388-1945",
            "fax_number": "303-388-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C BATEMAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "BATEMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-388-1945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "43266",
            "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 5, 2024; 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.