Individual provider Active NPI

Maria T Gentile, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Denver, CO
National Provider Identifier
1326064353
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
41523 Issued in CO
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

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GE5788OtherCOBLUE CROSS BLUE SHIELD
20437900301OtherCOPACIFICARE
612568700OtherCOACS DEPT OF LABOR
20437900380113OtherCOCHAMPUS 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
Green means eligible to order or refer.
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

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.