Marilu Orozco-Peterson, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0036358 Issued in CO

Practice address

4650 Signal Tree Dr Ste 1200
Timnath, CO 80547-4908

Phone

(970) 237-7415

Fax

(970) 237-7420

NPI assigned

Feb 17, 2006

Last updated

Jun 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in ID

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 Medicine

Practice roles

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.

• Valley Healthcare Associates, S.C

  dba Prairieview Medicine

  • Internal Medicine Physician
  • Elburn, IL
  • NPI 1073603122
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1366417966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 SIGNAL TREE DR STE 1200",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805474908",
            "telephone_number": "970-237-7415",
            "fax_number": "970-237-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 SIGNAL TREE DR STE 1200",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805474908",
            "telephone_number": "970-237-7415",
            "fax_number": "970-237-7420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5050 Powderhouse Rd",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820094800",
            "country_code": "US",
            "telephone_number": "307-634-1311",
            "fax_number": "307-634-1271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OROZCO-PETERSON",
        "first_name": "MARILU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0036358",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "10408A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50773241",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7173241",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P000048149",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "659946",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountain Iris Therapy LLC
• Colleen Nelson, LPC
• Brian Nguyen, RPH
• Justine Nicole Noren
• Amanda Olmstead, LCSW
• Pediatric Urgent Care of Northern Colorado
• Andrea Philop, RPH
• Poudre Valley Medical Group, LLC (UCHealth Medical Group)
• Sheila Purcell, FNP-C
• Madison Nicole Rich, PA-C

• Family Medicine Physician in Timnath, CO
• Providers in Timnath, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.