David A Dreitlein, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

CO40257 Issued in CO

Practice address

87 Merchant Dr
Montrose, CO 81401-3015

Phone

(970) 252-8896

Fax

(970) 240-3095

NPI assigned

Jul 25, 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 3

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

Specialty

Emergency Medicine

Education

University of Colorado School of Medicine, Denver, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keefe Memorial Health Service DistrictGroup PAC ID 8325364441, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Keefe Memorial Hospital Hospital, Cheyenne Wells, CO, CCN 061343
• Keefe Memorial Hospital Nursing home, CCN 06Z343

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Keefe Memorial Health Service District

  • Critical Access Hospital
  • Cheyenne Wells, CO
  • NPI 1366840688

  CO

  Medicare reassignment Care Compare group NPD
• Keefe Memorial Health Service District

  • Rural Health Clinic/Center
  • Cheyenne Wells, CO
  • NPI 1396143574
  NPD
• Keefe Memorial Health Service District

  • Rural Health Clinic/Center
  • Kit Carson, CO
  • NPI 1457749608
  NPD

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

• Keefe Memorial Health Service District

  • Critical Access Hospital
  • Cheyenne Wells, CO
  • NPI 1366840688

  Hospital

  Care Compare affiliation
• Keefe Memorial Health Service District

  • Medicare Defined Swing Bed Hospital Unit
  • Cheyenne Wells, CO
  • NPI 1700284007

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1366465957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814020052",
            "telephone_number": "970-252-8896",
            "fax_number": "970-240-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MERCHANT DR",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013015",
            "telephone_number": "970-252-8896",
            "fax_number": "970-240-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREITLEIN",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "CO40257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91025583",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M0654234",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00360810",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Montrose, CO
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.

Verify at the official NPI Registry.