Individual provider Active NPI

Frederick Mark Paz, MD

  • Internal Medicine Physician
  • Golden, CO
National Provider Identifier
1396931465
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29958 Issued in CO
Practice address
400 Indiana St Ste 280
Golden, CO 80401-5069
Phone
(303) 985-1811
Fax
(303) 985-3917
NPI assigned
Sep 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 29958 CO
Internal Medicine Physician 207R00000X 29958 CO Primary

Addresses

Primary practice location

400 Indiana St Ste 280
Golden, CO 80401-5069

Mailing address

400 Indiana St Ste 280
Golden, CO 80401-5069
Phone (303) 985-1811

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040414001977 CO Practitioner - Internal Medicine 6406841055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29958COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Osteo of Colorado LLC Multi-Specialty CurrentSince Sep 23, 2020 Accepting new patients
Restore Osteo of Colorado LLC Multi-Specialty Current Accepting new patients
Restore Osteo of Colorado LLC Multi-Specialty CurrentSince Sep 23, 2020 Accepting new patients
RFH Colorado, LLC PastSince Aug 18, 2024 Accepting new patients

Locations

1421 S Potomac St
Ste 330
Aurora, CO 80012
Phone (303) 696-2131

400 Indiana St
Ste 280
Lakewood, CO 80401
Phone (303) 216-2661

9195 Grant St
Ste 305
Thornton, CO 80229
Phone (303) 216-2661

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1396931465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST STE 280",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015069",
            "telephone_number": "303-985-1811",
            "fax_number": "303-985-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST STE 280",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015069",
            "telephone_number": "303-985-1811",
            "fax_number": "303-985-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZ",
        "first_name": "FREDERICK",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "29958",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "29958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.