Individual provider Active NPI

Doreen B Pearce, MD

  • Obstetrics & Gynecology Physician
  • Lakewood, CO
National Provider Identifier
1194386607
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0070943 Issued in CO
Practice address
255 Union Blvd Ste 200
Lakewood, CO 80228-1833
Phone
(303) 763-5111
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 0070943 CO Primary

Addresses

Primary practice location

255 Union Blvd Ste 200
Lakewood, CO 80228-1833

Mailing address

255 Union Blvd Ste 200
Lakewood, CO 80228-1833

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
I20230711000087 CO Practitioner - Obstetrics/Gynecology 3971962846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN AffiliatesGroup PAC ID 6608765060, 66 clinicians

Practice addresses (Care Compare)

255 Union Blvd
Suite 200
Lakewood, CO 80228-1833
Phone (303) 763-5111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0070943COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Affiliates Obstetrics & Gynecology CurrentSince Jul 1, 2023 Accepting new patients
Intermountain Front Range, Inc. Past Accepting new patients

Locations

7200 S Alton Way
Ste A100
Centennial, CO 80112
Phone (303) 730-2229

255 Union Blvd
Ste 200
Lakewood, CO 80228
Phone (303) 763-5111

Interoperability endpoints

  • Direct secure messaging: doreen.pearce.1@8558.direct.athenahealth.com
  • Direct secure messaging: dpearce91527@direct.phhs.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1194386607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281833",
            "telephone_number": "303-763-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "DOREEN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "0070943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.