Active NPI
Maria T Gentile, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Denver, CO
National Provider Identifier
1326064353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 41523
- Practice address
- 4901 W 38TH Ave
Ste 4
Denver, CO 80212-2025 - Phone
- (303) 781-7862
- Fax
- (303) 781-7864
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 41523 | CO | Primary |
Addresses
Primary practice location
4901 W 38TH Ave
Ste 4
Denver, CO 80212-2025
Mailing address
4901 W 38TH Ave
Ste 4
Denver, CO 80212-2025
Phone (303) 781-7862
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GE5788 | Other | CO | BLUE CROSS BLUE SHIELD |
| 20437900301 | Other | CO | PACIFICARE |
| 612568700 | Other | CO | ACS DEPT OF LABOR |
| 20437900380113 | Other | CO | CHAMPUS WEST REGION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2014 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Injury Evaluation & Treatment Center, LTD. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Denver, CO
- NPI 1790745800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1326064353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 W 38TH AVE",
"address_2": "STE 4",
"city": "DENVER",
"state": "CO",
"postal_code": "802122025",
"telephone_number": "303-781-7862",
"fax_number": "303-781-7864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 W 38TH AVE",
"address_2": "STE 4",
"city": "DENVER",
"state": "CO",
"postal_code": "802122025",
"telephone_number": "303-781-7862",
"fax_number": "303-781-7864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILE",
"first_name": "MARIA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "CO",
"license": "41523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "GE5788",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "20437900301",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS DEPT OF LABOR",
"identifier": "612568700",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS WEST REGION",
"identifier": "20437900380113",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.