Active NPI
Amanda Deis, MD
- Pediatric Anesthesiology Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- DR.0068857
- Practice address
- 777 Bannock St
Denver, CO 80204-4597 - Phone
- (303) 436-6000
- NPI assigned
- May 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | DR.0068857 | CO | |
| Pediatric Anesthesiology Physician | 207LP3000X | DR.0068857 | CO | Primary |
Addresses
Primary practice location
777 Bannock St
Denver, CO 80204-4597
Mailing address
777 Bannock St
Denver, CO 80204-4597
Other practice location 1
13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-1234
Other practice location 2
12401 E 17th Ave Fl 7
Aurora, CO 80045-2548
Phone (720) 777-4999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, IA, MI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Pittsburgh School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000
80 68TH St SE
Grand Rapids, MI 49548-6980
80 68TH St SE FL
1 Corewell Health Medical Group West
Grand Rapids, MI 49548-6980
Phone (616) 267-8950
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0068857 | CO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Current | Accepting new patients | |
| Associated Anesthesiologists, SC | Anesthesiology | Current | Accepting new patients |
| Mercy Medical Center | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| University Physicians Incorporated | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| University Physicians, Incorporated | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Anesthesiology | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Anesthesiology | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| University Physicians Incorporated | Anesthesiology | Current | Accepting new patients |
Locations
12401 E 17th Ave
Fl 7
Aurora, CO 80045
Phone (303) 724-1745
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
Dept 1061
Denver, CO 80256
777 Bannock St
Denver, CO 80204
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
Interoperability endpoints
- adeis265568@direct.dhha.org
Organizations & group practices 12
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.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
dba CU Medicine
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
Anesthesiology
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
dba Mercy Family Counseling, Mercy Psychiatric
- Psychiatry Physician
- Cedar Rapids, IA
- NPI 1700834165
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
dba CU Anchutz Health & Wellness Center
- Nurse Practitioner
- Aurora, CO
- NPI 1750740841
-
dba CU Sports Medicine Colorado Center
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
-
dba Hall Perrine Cancer Center Pharmacy
- Community/Retail Pharmacy
- Cedar Rapids, IA
- NPI 1114923513
-
dba Mercy Professional Services
- Cardiovascular Disease Physician
- Cedar Rapids, IA
- NPI 1669617106
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
Anesthesiology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Denver Health East Grand Community Clinic & Emergency Center
- Emergency Care Clinic/Center
- Winter Park, CO
- NPI 1467762435
Hospital
-
- General Acute Care Hospital
- Denver, CO
- NPI 1689624686
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1366931586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597",
"telephone_number": "303-436-6000"
}
],
"practiceLocations": [
{
"address_1": "13123 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457106",
"country_code": "US",
"telephone_number": "720-777-1234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12401 E 17th Ave Fl 7",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452548",
"country_code": "US",
"telephone_number": "720-777-4999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEIS",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "DR.0068857",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "CO",
"license": "DR.0068857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.