Individual provider Active NPI

Amen Sergew, MD

  • Pulmonary Disease Physician
  • Aurora, CO
National Provider Identifier
1407993769
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
44785 Issued in CO
Practice address
1700 Wheeling St
Aurora, CO 80045-7211
Phone
(720) 723-6091
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44785 CO
Internal Medicine Physician 207R00000X 50845 AZ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 48958 CO
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 1801 WI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 44785 CO
Pulmonary Disease Physician 207RP1001X 44785 CO Primary

Addresses

Primary practice location

1700 Wheeling St
Aurora, CO 80045-7211

Mailing address

1400 Jackson Street
National Jewish Health
Denver, CO 80206-2641
Phone (303) 388-4461

Other identifiers 1

IdentifierTypeStateIssuer
55382568MedicaidCO

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
I20071218000064 CO Practitioner - Internal MedicinePractitioner - Pulmonary Disease 6800813916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Denver, CO 80222
Phone (720) 790-3479

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50845AZMDInternal Medicine Physician
44785COMDInternal Medicine Physician
48958COMDCritical Care Medicine (Internal Medicine) Physician
1801WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince Mar 1, 2011 Accepting new patients
University Physicians Incorporated Internal Medicine CurrentSince Mar 1, 2011 Accepting new patients
Sergew Health Provider Pulmonary Disease CurrentSince Jan 1, 2026 Accepting new patients
Philippe G Lopez MD PC Critical Care Medicine PastSince Jun 16, 2024 Accepting new patients
Critical Care & Pulmonary Consultants, PC Critical Care Medicine PastSince Jul 1, 2002 Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1700 Wheeling St
Aurora, CO 80045

2000 S Colorado Blvd
Bldg 12001110
Denver, CO 80222
Phone (720) 790-3479

1400 Jackson St
Denver, CO 80206
Phone (303) 388-4461

Dept 1061
Denver, CO 80256

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

Interoperability endpoints

  • Direct secure messaging: amen.sergew@1076330780753924.direct.elationemr.com

Organizations & group practices 5

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1407993769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 JACKSON STREET",
            "address_2": "NATIONAL JEWISH HEALTH",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802062641",
            "telephone_number": "303-388-4461",
            "fax_number": "303-398-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WHEELING ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457211",
            "telephone_number": "720-723-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERGEW",
        "first_name": "AMEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "44785",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "50845",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CO",
            "license": "48958",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "1801",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CO",
            "license": "44785",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "44785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55382568",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.