Active NPI
Maritza Proano, M.D.
- Gastroenterology Physician
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 10153
- Practice address
- 1600 N Grand Ave
Suite 440
Pueblo, CO 81003-2760 - Phone
- (719) 543-3500
- Fax
- (719) 543-3504
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD2025-0654 | NM | |
| Gastroenterology Physician | 207RG0100X | 10153 | ND | Primary |
Addresses
Primary practice location
1600 N Grand Ave
Suite 440
Pueblo, CO 81003-2760
Mailing address
1600 N Grand Ave
Suite 440
Pueblo, CO 81003-2760
Phone (719) 543-3500
Other practice location 1
630 W Maple St
Farmington, NM 87401-6113
Phone (505) 609-6349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13702 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Columbia University College of Physicians and Surgeons, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 N Grand Ave
Suite 440
Pueblo, CO 81003-2760
Phone (719) 543-3500
630 W Maple St
SJHP Gastroenterology
Farmington, NM 87401-6113
Phone (505) 609-6349
Hospital & facility affiliations
- San Juan Regional Medical Center Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 103 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 91 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Gastroenterology | Current | Accepting new patients |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| Digestive Diseases Specialists of Colorado,LLC | Gastroenterology | Current | Accepting new patients |
Locations
1600 N Grand Ave
Ste 440
Pueblo, CO 81003
Phone (719) 543-3500
801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011
630 W Maple St
Farmington, NM 87401
Phone (505) 325-1123
4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610
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.
-
- Gastroenterology Physician
- Pueblo, CO
- NPI 1033135330
-
- Gastroenterology Physician
- Farmington, NM
- NPI 1639662901
-
- Family Medicine Physician
- Farmington, NM
- NPI 1710589015
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Farmington, NM
- NPI 1326663592
-
- General Acute Care Hospital
- Farmington, NM
- NPI 1427058510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1194742676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N GRAND AVE",
"address_2": "SUITE 440",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032760",
"telephone_number": "719-543-3500",
"fax_number": "719-543-3504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N GRAND AVE",
"address_2": "SUITE 440",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032760",
"telephone_number": "719-543-3500",
"fax_number": "719-543-3504"
}
],
"practiceLocations": [
{
"address_1": "630 W Maple St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874016113",
"country_code": "US",
"telephone_number": "505-609-6349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROANO",
"first_name": "MARITZA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NM",
"license": "MD2025-0654",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ND",
"license": "10153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13702",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.