Individual provider Active NPI

Michael Tate Wright, M.D.

  • Pediatrics Physician
  • Denver, CO
National Provider Identifier
1184818585
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
62934 Issued in CO
Practice address
1339 S Federal Blvd
Denver, CO 80219-4235
Phone
(303) 602-0000
NPI assigned
Aug 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X N4211 TX
Pediatrics Physician 208000000X 62934 CO Primary
Pediatrics Physician 208000000X N4211 TX

Addresses

Primary practice location

1339 S Federal Blvd
Denver, CO 80219-4235

Mailing address

1339 S Federal Blvd
Denver, CO 80219-4235
Phone (303) 602-0000

Other practice location 1

18924 Freeport Drive
Suite B
Montgomery, TX 77356
Phone (936) 582-7337

Other identifiers 3

IdentifierTypeStateIssuer
000000531248OtherINANTHEM
9701093OtherINAETNA
200869020MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221101002676 CO Practitioner - Pediatric Medicine 5890889885 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62934COMDPediatrics Physician
N4211TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Nov 1, 2022 Accepting new patients
Denver Health and Hospital Authority CurrentSince Nov 1, 2022 Accepting new patients
Wright Pediatrics, PA Pediatrics Past Accepting new patients

Locations

1339 S Federal Blvd
Denver, CO 80219
Phone (303) 602-0000

777 Bannock St
Denver, CO 80204

Interoperability endpoints

  • Direct secure messaging: mwright272102@direct.dhha.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1184818585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194235",
            "telephone_number": "303-602-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194235",
            "telephone_number": "303-602-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18924 Freeport Drive",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "77356",
            "country_code": "US",
            "telephone_number": "936-582-7337",
            "fax_number": "936-582-7338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MICHAEL",
        "middle_name": "TATE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N4211",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "62934",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N4211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000531248",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9701093",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200869020",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.