Individual provider Active NPI

Amanda Deis, MD

  • Pediatric Anesthesiology Physician
  • Denver, CO
National Provider Identifier
1366931586
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
DR.0068857 Issued in CO
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

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20231026003791 CO Practitioner - AnesthesiologyPractitioner - Pediatric Medicine 1153677521 Reassigns benefits to 2 organizations
I20250519002367 IA Practitioner - Anesthesiology 1153677521 Reassigns benefits to 1 organization
I20250905004339 MI Practitioner - Anesthesiology 1153677521 Reassigns benefits to 1 organization
I20251125000705 IL Practitioner - Anesthesiology 1153677521 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
DR.0068857COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Apr 3, 2025 Accepting new patients
Associated Anesthesiologists, SC Anesthesiology CurrentSince Nov 10, 2025 Accepting new patients
Mercy Medical Center Current Accepting new patients
Denver Health and Hospital Authority CurrentSince Sep 13, 2023 Accepting new patients
University Physicians Incorporated CurrentSince Oct 1, 2023 Accepting new patients
Mercy Medical Center CurrentSince Apr 3, 2025 Accepting new patients
University Physicians, Incorporated CurrentSince Oct 1, 2023 Accepting new patients
Associated Anesthesiologists, S.C. Anesthesiology CurrentSince Nov 10, 2025 Accepting new patients
Spectrum Health Primary Care Partners Anesthesiology CurrentSince Aug 11, 2025 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Denver Health and Hospital Authority CurrentSince Sep 13, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.