Individual provider Active NPI

Gerard Livaudais Guillory, M.D.

  • Internal Medicine Physician
  • Aurora, CO
National Provider Identifier
1235166315
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26649 Issued in CO
Practice address
750 Potomac Street
Suite 111
Aurora, CO 80011-6795
Phone
(303) 343-3121
Fax
(303) 343-2514
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26649 CO Primary

Addresses

Primary practice location

750 Potomac Street
Suite 111
Aurora, CO 80011-6795

Mailing address

750 Potomac Street
Suite 111
Aurora, CO 80011-6795
Phone (303) 343-3121

Other identifiers 2

IdentifierTypeStateIssuer
110238248OtherCORAILROAD MEDICARE
01266493MedicaidCO

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
I20050214000188 CO Practitioner - Internal Medicine 2365331501 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26649COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New West Physicians Inc Internal Medicine CurrentSince Aug 13, 2022 Accepting new patients
New West Physicians Inc CurrentSince Aug 13, 2022 Accepting new patients

Locations

1421 S Potomac St
Ste 320
Aurora, CO 80012
Phone (303) 750-1920

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1235166315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 POTOMAC STREET",
            "address_2": "SUITE 111",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116795",
            "telephone_number": "303-343-3121",
            "fax_number": "303-343-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 POTOMAC STREET",
            "address_2": "SUITE 111",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116795",
            "telephone_number": "303-343-3121",
            "fax_number": "303-343-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "GERARD",
        "middle_name": "LIVAUDAIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "26649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110238248",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01266493",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.