Individual provider Active NPI

Jonathan Everett Mayer, MD

  • Dermatology Physician
  • Greenwood Village, CO
National Provider Identifier
1265829196
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0061858 Issued in CO
Practice address
6050 Greenwood Plaza Blvd Ste 130
Greenwood Village, CO 80111-4823
Phone
(720) 706-7500
NPI assigned
Apr 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X DR.0061858 CO Primary

Addresses

Primary practice location

6050 Greenwood Plaza Blvd Ste 130
Greenwood Village, CO 80111-4823

Mailing address

6050 Greenwood Plaza Blvd Ste 130
Greenwood Village, CO 80111-4823
Phone (720) 706-7500

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
I20190814002889 CO Practitioner - Dermatology 7517286131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6050 Greenwood Plaza Blvd
Suite 130
Greenwood Village, CO 80111-4823
Phone (720) 706-7500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions159
Removal or shaving of skin growth1-10
Skin biopsy17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0061858COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Dermatology, PLLC Dermatology CurrentSince Feb 15, 2021 Accepting new patients
Denver Dermatology Consultants PC Dermatology PastSince Sep 1, 2019 Accepting new patients

Locations

6050 Greenwood Plaza Blvd
Ste 130
Greenwood Village, CO 80111
Phone (720) 706-7500

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": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1265829196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 GREENWOOD PLAZA BLVD STE 130",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114823",
            "telephone_number": "720-706-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 GREENWOOD PLAZA BLVD STE 130",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114823",
            "telephone_number": "720-706-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "JONATHAN",
        "middle_name": "EVERETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2021-05-14",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0061858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.