Active NPI
Paul D Deneault, M.D.
- Gastroenterology Physician
- Thornton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 33209
- Practice address
- 10001 N Washington St
Thornton, CO 80229-2050 - Phone
- (303) 252-4442
- Fax
- (303) 429-6714
- NPI assigned
- Jun 23, 2006
- Last updated
- Nov 8, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 33209 | CO | Primary |
Addresses
Primary practice location
10001 N Washington St
Thornton, CO 80229-2050
Mailing address
10403 W Colfax Ave Ste 630
Lakewood, CO 80215-3812
Phone (303) 205-1090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01332097 | Medicaid | CO | |
| 100012368 | Other | CO | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10001 Washington St
Thornton, CO 80229-2050
Phone (303) 252-4442
1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4593
5890 W 13TH St
Suite 104
Greeley, CO 80634-4821
Phone (970) 810-4475
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 96 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 115 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33209 | CO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Hospital Based Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Colorado LLC | Current | Accepting new patients | |
| Rocky Mountain Gastroenterology Associates, PLLC | Gastroenterology | Current | Accepting new patients |
| Rocky Mountain Gastroenterology Associates, PLLC | Gastroenterology | Past | Accepting new patients |
Locations
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
5890 W 13th St
Ste 104
Greeley, CO 80634
Phone (970) 330-9729
3333 S Wadsworth Blvd
Unit D100
Lakewood, CO 80227
355 Union Blvd
Ste 10
Lakewood, CO 80228
Phone (303) 689-8700
10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083
10001 Washington St
Uppr
Thornton, CO 80229
Phone (303) 252-4442
Interoperability endpoints
- pauldeneault@rmgpllc.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Greeley, CO
- NPI 1154679637
-
- Gastroenterology Physician
- Lakewood, CO
- NPI 1669414272
-
- Multi-Specialty Clinic/Center
- Greeley, CO
- NPI 1073899134
-
- Multi-Specialty Clinic/Center
- Fort Collins, CO
- NPI 1386034122
-
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1376304758
-
- Gastroenterology Physician
- Thornton, CO
- NPI 1164397857
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Anthony North Hospital
- General Acute Care Hospital
- Westminster, CO
- NPI 1619985942
-
dba 84th Avenue Imaging Center
- General Acute Care Hospital
- Westminster, CO
- NPI 1013557545
-
dba 84th Avenue Emergency/Urgent Care
- Emergency Care Clinic/Center
- Westminster, CO
- NPI 1093355604
Hospital
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1568002095
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1831739440
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1912547449
-
- General Acute Care Hospital
- Loveland, CO
- NPI 1174231682
-
- Critical Access Hospital
- Greeley, CO
- NPI 1255971404
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1477376986
-
- Special Hospital
- Loveland, CO
- NPI 1487535431
-
- Critical Access Hospital
- Greeley, CO
- NPI 1578103750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1346276177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10403 W COLFAX AVE STE 630",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802153812",
"telephone_number": "303-205-1090",
"fax_number": "303-205-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 N WASHINGTON ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "802292050",
"telephone_number": "303-252-4442",
"fax_number": "303-429-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENEAULT",
"first_name": "PAUL",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CO",
"license": "33209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01332097",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100012368",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.