NPIMap

Individual provider Active NPI

Diogo Tavares Bauleth, MD

  • Hospitalist Physician
  • Denver, CO
National Provider Identifier
1265404685
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DR.0040501 Issued in CO
Practice address
1375 E 19TH Ave
Denver, CO 80218-1114
Phone
(303) 338-4545
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40501 CO
Hospitalist Physician 208M00000X DR.0040501 CO Primary

Addresses

Primary practice location

1375 E 19TH Ave
Denver, CO 80218-1114

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314

Other identifiers 2

IdentifierTypeStateIssuer
028985OtherCOKAISER COMMERCIAL NUMBER
82135797MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118001193 CO Practitioner - Internal MedicinePractitioner - Hospitalist 6103015474 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Consultants PLLCGroup PAC ID 0547589517, 78 clinicians
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

9250 E Costilla Ave
Suite 540
Greenwood Village, CO 80112-3648
Phone (720) 644-9355

9395 Crown Crest Blvd
Parker, CO 80138-8573
Phone (303) 269-4000

Hospital & facility affiliations

  • Choice Hospice Hospice, Greenwood Village, CO, CCN 061612
  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • AdventHealth Porter Hospital, Denver, CO, CCN 060064
  • Orchard Park Health Care Center Nursing home, Littleton, CO, CCN 065259
  • Life Care Center of Stonegate Nursing home, Parker, CO, CCN 065401

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40501COMDInternal Medicine Physician
DR.0040501COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Summit Medical Consultants PLLC Internal Medicine CurrentSince Mar 15, 2026 Accepting new patients
Portercare Adventist Health System CurrentSince Mar 1, 2015 Accepting new patients
Portercare Adventist Health System Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

9250 E Costilla Ave
Ste 540
Greenwood Village, CO 80112

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

12230 Lioness Way
Parker, CO 80134
Phone (720) 214-7777

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

Interoperability endpoints

  • Direct secure messaging: dbauleth1866785@adventhealth.direct-ci.com

Organizations & group practices 7

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1265404685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 E DAKOTA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802471314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E 19TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181114",
            "telephone_number": "303-338-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAULETH",
        "first_name": "DIOGO",
        "middle_name": "TAVARES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "40501",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0040501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "028985",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82135797",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "CAREQUALITY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1375 E 19th Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802181114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.