Active NPI
John C Mogab, MD
- Anesthesiology Physician
- Denver, CO
National Provider Identifier
1396722492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20241
- Practice address
- 191 University Blvd
#713
Denver, CO 80206-4613 - Phone
- (303) 377-6825
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 20241 | CO | Primary |
Addresses
Primary practice location
191 University Blvd
#713
Denver, CO 80206-4613
Mailing address
191 University Blvd
#713
Denver, CO 80206-4613
Phone (303) 377-6825
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84113438513 | Medicaid | NE | |
| 907490200 | Medicaid | FL | |
| 118748100 | Medicaid | WY | |
| 3506685 | Medicaid | MT | |
| 431593700 | Medicaid | ME | |
| 01202415 | Medicaid | CO | |
| 54727758 | Medicaid | NM | |
| 100459020A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20241 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Anesthesia Consultants, P.C. | Anesthesiology | Past | Accepting new patients |
| US Anesthesia Partners of Colorado Inc. | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Denver, CO
- NPI 1457359820
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366329600000",
"number": "1396722492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 UNIVERSITY BLVD",
"address_2": "#713",
"city": "DENVER",
"state": "CO",
"postal_code": "802064613",
"telephone_number": "303-377-6825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 UNIVERSITY BLVD",
"address_2": "#713",
"city": "DENVER",
"state": "CO",
"postal_code": "802064613",
"telephone_number": "303-377-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGAB",
"first_name": "JOHN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2013-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "20241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84113438513",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "907490200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118748100",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3506685",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431593700",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01202415",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54727758",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100459020A",
"state": "KS"
}
],
"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 Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.