Individual provider Active NPI

Palida Noor, MD

  • Pediatrics Physician
  • Denver, CO
National Provider Identifier
1336646488
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0066288 Issued in CO
Practice address
2650 18TH St Ste 100
Denver, CO 80211-4297
Phone
(720) 583-4470
NPI assigned
Apr 6, 2018
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180709002229 MO Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0648526483

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0066288COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Colorado Current Accepting new patients
SSM Medical Group Inc. Past Accepting new patients
Highlands Integrative Pediatics, PC Pediatrics PastSince Aug 15, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.