Individual provider Active NPI

Heran Winta Gebreyesus, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Lakewood, CO
National Provider Identifier
1235692229
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
DR.0070713 Issued in CO
Practice address
13772 Denver West Pkwy Ste 100
Lakewood, CO 80401-3139
Phone
(303) 279-6600
Fax
(303) 279-9140
NPI assigned
Apr 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X D0100834 MD
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X DR.0070713 CO Primary

Addresses

Primary practice location

13772 Denver West Pkwy Ste 100
Lakewood, CO 80401-3139

Mailing address

13772 Denver West Pkwy Ste 100
Lakewood, CO 80401-3139
Phone (303) 279-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230530001330 CO Practitioner - Ophthalmology 1557728037 Reassigns benefits to 2 organizations
I20240917003518 MD Practitioner - Ophthalmology 1557728037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Howard University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of Northern Colorado PCGroup PAC ID 5496644841, 67 clinicians

Practice addresses (Care Compare)

13772 Denver W Pkwy
Suite 100
Lakewood, CO 80401-3139
Phone (303) 279-2600

419 W Redwood St
Suite 420
Baltimore, MD 21201-7002
Phone (667) 214-1111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0100834MDMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince May 1, 2023 Accepting new patients
University of Maryland Eye Associates, P.a. CurrentSince Oct 7, 2024 Accepting new patients
University of Maryland Eye Associates, P.a. CurrentSince Oct 7, 2024 Accepting new patients
Denver Health and Hospital Authority CurrentSince May 1, 2023 Accepting new patients

Locations

777 Bannock St
Denver, CO 80204

419 W Redwood St
Ste 470
Baltimore, MD 21201
Phone (667) 214-1197

419 W Redwood St
Ste 420
Baltimore, MD 21201
Phone (410) 328-6533

5900 Waterloo Rd
Ste 230
Columbia, MD 21045
Phone (667) 214-1299

Interoperability endpoints

  • Direct secure messaging: hgebreyesus1221374@direct.umm.edu

Organizations & group practices 5

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 2

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1235692229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PKWY STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013139",
            "telephone_number": "303-279-6600",
            "fax_number": "303-279-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PKWY STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013139",
            "telephone_number": "303-279-6600",
            "fax_number": "303-279-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBREYESUS",
        "first_name": "HERAN",
        "middle_name": "WINTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "MD",
            "license": "D0100834",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CO",
            "license": "DR.0070713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.