Active NPI
Palida Noor, MD
- Pediatrics Physician
- Denver, CO
National Provider Identifier
1336646488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0066288
- Practice address
- 2650 18TH St Ste 100
Denver, CO 80211-4297 - Phone
- (720) 583-4470
- NPI assigned
- Apr 6, 2018
- Last updated
- Aug 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0066288 | CO | Primary |
Addresses
Primary practice location
2650 18TH St Ste 100
Denver, CO 80211-4297
Mailing address
18205 W 85TH Dr
Arvada, CO 80007-7235
Phone (217) 415-0773
Other practice location 1
1465 S. Grand Blvd.
Room 2717
St. Louis, MO 63104-1003
Phone (314) 268-4070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180709002229 | MO | Order and Referring Only - Pediatric Medicine | 0648526483 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0066288 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Colorado | Current | Accepting new patients | |
| SSM Medical Group Inc. | Past | Accepting new patients | |
| Highlands Integrative Pediatics, PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- pnoor238034@direct.childrenscolorado.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Pediatrics Physician
- Denver, CO
- NPI 1205188794
-
dba SSM Health Medical Group
- Durable Medical Equipment & Medical Supplies
- Fenton, MO
- NPI 1124579966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1336646488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18205 W 85TH DR",
"city": "ARVADA",
"state": "CO",
"postal_code": "800077235",
"telephone_number": "217-415-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 18TH ST STE 100",
"city": "DENVER",
"state": "CO",
"postal_code": "802114297",
"telephone_number": "720-583-4470"
}
],
"practiceLocations": [
{
"address_1": "1465 S. Grand Blvd.",
"address_2": "Room 2717",
"address_purpose": "LOCATION",
"city": "St. Louis",
"state": "MO",
"postal_code": "631041003",
"country_code": "US",
"telephone_number": "314-268-4070",
"fax_number": "314-268-4019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOOR",
"first_name": "PALIDA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-06",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "0066288",
"primary": true
}
],
"identifiers": [],
"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 Aug 9, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.