NPIMap

Individual provider Active NPI

Tanya Monique Oswald, M.D.

  • Plastic Surgery Physician
  • Centennial, CO
National Provider Identifier
1467654376
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
DR.0055126 Issued in CO
Practice address
13111 E Briarwood Ave Ste 100
Centennial, CO 80112-3925
Phone
(720) 408-5805
Fax
(720) 930-4252
NPI assigned
Jun 3, 2007
Sex
Female
Sole proprietor
Yes

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X DR.0055126 CO
Surgery Physician 208600000X DR.0055126 CO
Plastic and Reconstructive Surgery Physician 2086S0122X DR.0055126 CO
Plastic Surgery Physician 208200000X DR.0055126 CO Primary

Addresses

Primary practice location

13111 E Briarwood Ave Ste 100
Centennial, CO 80112-3925

Mailing address

13111 E Briarwood Ave Ste 100
Centennial, CO 80112-3925
Phone (720) 408-5805

Other identifiers 1

IdentifierTypeStateIssuer
46987291MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151208000461 CO Practitioner - Plastic and Reconstructive Surgery 9638223076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Mississippi School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13111 E Briarwood Ave
Centennial, CO 80112-3925
Phone (719) 465-0069

Hospital & facility affiliations

  • The Medical Center of Aurora & South Hospital Hospital, Aurora, CO, CCN 060100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0055126COMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tanya M Oswald MD Professional LLC Plastic Surgery CurrentSince May 17, 2019 Accepting new patients
Soma Plastic Surgery and Hand Clinic PastSince Mar 1, 2010 Accepting new patients

Locations

13111 E Briarwood Ave
Ste 100
Centennial, CO 80112
Phone (719) 465-0069

601 E Hampden Ave
Ste 110
Englewood, CO 80113
Phone (303) 788-4312

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.

Hospital & facility affiliations 11

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": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1467654376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 E BRIARWOOD AVE STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123925",
            "telephone_number": "720-408-5805",
            "fax_number": "720-930-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 E BRIARWOOD AVE STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123925",
            "telephone_number": "720-408-5805",
            "fax_number": "720-930-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWALD",
        "first_name": "TANYA",
        "middle_name": "MONIQUE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-03",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CO",
            "license": "DR.0055126",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0055126",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CO",
            "license": "DR.0055126",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "DR.0055126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46987291",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.