Aurelio Etcheverry, D.O., P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

31768 Issued in CO

Practice address

1190 Bookcliff Ave Unit 104
Grand Junction, CO 81501-8159

Phone

(970) 242-7060

Fax

(970) 242-6198

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aetcheverry@dinopeds.directbygreenway.com
• Direct secure messaging: aetcheverry@dino-peds.gwaydirect.com

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.

• Aurelio Etcheverry D O P C

  • Pediatrics Physician
  • Grand Junction, CO
  • NPI 1811363583
  Medicare reassignment NPD
• Dino-Peds Management Group

  • Pediatric Nurse Practitioner
  • Grand Junction, CO
  • NPI 1386924769
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1346334182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 BOOKCLIFF AVE UNIT 104",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018159",
            "telephone_number": "970-242-7060",
            "fax_number": "970-242-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 BOOKCLIFF AVE UNIT 104",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018159",
            "telephone_number": "970-242-7060",
            "fax_number": "970-242-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETCHEVERRY",
        "first_name": "AURELIO",
        "name_prefix": "Dr.",
        "credential": "D.O., P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "31768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01317684",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.

Verify at the official NPI Registry.