Individual provider Active NPI

Victor Dabelea, MD

  • Obstetrics & Gynecology Physician
  • Denver, CO
National Provider Identifier
1316111990
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
44127 Issued in CO
Practice address
2055 N High St
#140
Denver, CO 80205-5503
Phone
(303) 322-2240
Fax
(303) 322-9260
NPI assigned
Apr 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 44127 CO Primary

Addresses

Primary practice location

2055 N High St
#140
Denver, CO 80205-5503

Mailing address

4900 S Monaco St
Suite 210
Denver, CO 80237-3486
Phone (303) 322-2240

Other identifiers 2

IdentifierTypeStateIssuer
16935381MedicaidCO
200739390AMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VICTOR.DABELEA@hca3.eclinicaldirectplus.com

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
I20100625000451 CO Practitioner - Obstetrics/Gynecology 3870624463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services - Obstetrics and Gynecology LLCGroup PAC ID 4587759972, 62 clinicians

Practice addresses (Care Compare)

2055 N High St
Suite 140
Denver, CO 80205-5504
Phone (303) 322-2240

Hospital & facility affiliations

  • HCA HealthOne Presbyterian St. Lukes Hospital, Denver, CO, CCN 060014
  • Kit Carson County Memorial Hospital Hospital, Burlington, CO, CCN 061313

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44127COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Obstetrics and Gynecology LLC Obstetrics & Gynecology CurrentSince May 1, 2010 Accepting new patients
Healthone Clinic Services LLC Obstetrics & Gynecology Past Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

4900 S Monaco St
Ste 210
Denver, CO 80237

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

2055 N High St
Ste 140
Denver, CO 80205
Phone (303) 322-2240

1400 S Potomac St
Ste 225
Denver, CO 80012
Phone (303) 563-2782

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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.

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1316111990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-322-2240",
            "fax_number": "303-322-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N HIGH ST",
            "address_2": "#140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055503",
            "telephone_number": "303-322-2240",
            "fax_number": "303-322-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABELEA",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "44127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16935381",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200739390A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VICTOR.DABELEA@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2055 N High St",
            "address_2": "#140",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802055503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.