Individual provider Active NPI

David Richard Paz, M.D.

  • Internal Medicine Physician
  • Trinidad, CO
National Provider Identifier
1467536300
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42590 Issued in CO
Practice address
911 Robinson Ave
Trinidad, CO 81082-2811
Phone
(719) 845-4800
NPI assigned
Oct 25, 2006
Last updated
Dec 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 42590 CO
Internal Medicine Physician 207R00000X 42590 CO Primary

Addresses

Primary practice location

911 Robinson Ave
Trinidad, CO 81082-2811

Mailing address

911 Robinson Ave
Trinidad, CO 81082-2811
Phone (719) 845-4800

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
I20071025000156 CO Practitioner - Internal Medicine 7012004989 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42590COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinidad Area Health Association Internal Medicine CurrentSince May 20, 2010 Accepting new patients
Trinidad Area Health Association CurrentSince May 20, 2010 Accepting new patients

Locations

400 Benedicta Ave
Ste A
Trinidad, CO 81082
Phone (719) 846-2206

410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1467536300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 ROBINSON AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822811",
            "telephone_number": "719-845-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 ROBINSON AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822811",
            "telephone_number": "719-845-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZ",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "42590",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "42590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinidad, CO

Sources for this page

Verify at the official NPI Registry.