Individual provider Active NPI

Pramod Vangeti

  • Emergency Medicine Physician
  • Aurora, CO
National Provider Identifier
1346560968
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0053620 Issued in CO
Practice address
1501 S Potomac St
Aurora, CO 80012-5411
Phone
(303) 695-2628
Fax
(303) 306-7753
NPI assigned
Jun 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C7-0004518 DE
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X DR.0053620 CO Primary

Addresses

Primary practice location

1501 S Potomac St
Aurora, CO 80012-5411

Mailing address

PO Box 173862
Denver, CO 80217-3862
Phone (303) 306-7783

Other identifiers 2

IdentifierTypeStateIssuer
69989249MedicaidCO
P01378289OtherCORAILROAD MEDICARE

Other names 1

  • Pramod Vangeti Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140623000787 CO Practitioner - Emergency Medicine 6406095967 Reassigns benefits to 2 organizations
I20260617002032 KS Practitioner - Emergency Medicine 6406095967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carepoint Emergency Medicine, PLLCGroup PAC ID 7810291432, 160 clinicians
Carepoint Emergency Medicine Kansas LLCGroup PAC ID 9537440367, 79 clinicians

Practice addresses (Care Compare)

1501 S Potomac St
Medical Center of Aurora
Aurora, CO 80012-5411
Phone (303) 695-2600

550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2000

9191 Grant St
Thornton, CO 80229-4361
Phone (303) 450-4482

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7-0004518DEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint P.C. Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Carepoint Emergency Medicine, PLLC Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
Doctors for Emergency Service Emergency Medicine Past Accepting new patients

Locations

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

5600 S Quebec St
Ste 312A
Greenwood Village, CO 80111
Phone (303) 343-6272

9141 Grant St
Ste B40
Thornton, CO 80229
Phone (303) 453-2554

2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1346560968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173862",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173862",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125411",
            "telephone_number": "303-695-2628",
            "fax_number": "303-306-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGETI",
        "first_name": "PRAMOD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-05",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C7-0004518",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0053620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69989249",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01378289",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRAMOD",
            "last_name": "VANGETI",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.