Organization Active NPI

Aurora Internal Medicine Clinic, PC

  • Internal Medicine Physician
  • Centennial, CO
National Provider Identifier
1356566657
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36303 Issued in CO
Legal business name
AURORA INTERNAL MEDICINE CLINIC, PC
Practice address
13111 E Briarwood Ave
Suite 250
Centennial, CO 80112-3930
Phone
(303) 810-6269
Fax
(303) 805-9323
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Arthur A Burroughs, MDNPI 1770533911
Title
Treasurer
Phone
(303) 805-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 36303 CO Primary

Addresses

Primary practice location

13111 E Briarwood Ave
Suite 250
Centennial, CO 80112-3930

Mailing address

13111 E Briarwood Ave
Suite 250
Centennial, CO 80112-3930
Phone (303) 805-1800

Other identifiers 1

IdentifierTypeStateIssuer
04021804MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325000713 CO Part B Supplier - Clinic/Group Practice 5395637433 Receives reassigned benefits from 7 practitioners
Practice locations: Centennial, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2085593Aurora Internal Medicine Clinic13111 E Briarwood Ave, Ste 250, Centennial, CO 80112Certificate of waiverOct 16, 2026

National Provider Directory

National Provider Directory

Locations

1550 S Potomac St
Ste 100
Aurora, CO 80012
Phone (303) 671-0953

13111 E Briarwood Ave
Ste 250
Centennial, CO 80112
Phone (303) 805-1800

3464 S Willow St
#42
Denver, CO 80231

9397 Crown Crest Blvd
Ste 230
Parker, CO 80138
Phone (303) 805-1800

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1356566657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 E BRIARWOOD AVE",
            "address_2": "SUITE 250",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123930",
            "telephone_number": "303-805-1800",
            "fax_number": "303-805-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 E BRIARWOOD AVE",
            "address_2": "SUITE 250",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123930",
            "telephone_number": "303-810-6269",
            "fax_number": "303-805-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA INTERNAL MEDICINE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "303-805-1800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "36303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04021804",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.