NPIMap

Individual provider Active NPI

Gregory Wiener, M.D.

  • Emergency Medicine Physician
  • Denver, CO
National Provider Identifier
1487187787
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0066094 Issued in CO
Practice address
777 Bannock St # Mc0108
Denver, CO 80204
Phone
(303) 602-5183
NPI assigned
Apr 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TL.0006429 CO
Emergency Medicine Physician 207P00000X DR.0066094 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X TL.00007434 CO

Addresses

Primary practice location

777 Bannock St # Mc0108
Denver, CO 80204

Mailing address

777 Bannock St # Mc0108
Denver, CO 80204-4507
Phone (303) 602-5183

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
I20210526000754 CO Practitioner - Emergency Medicine 4789952318 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Colorado School of Medicine, Denver, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yampa Valley Medical CenterGroup PAC ID 5890685689, 128 clinicians
Vail Valley Emergency Physicians PCGroup PAC ID 9830620459, 13 clinicians

Practice addresses (Care Compare)

1024 Central Park Dr
Steamboat SPR, CO 80487-8813
Phone (970) 879-1322

180 S Frontage Rd W
Vail, CO 81657-5038
Phone (866) 247-3141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0066094COMDEmergency Medicine Physician
TL.00007434COMDStudent in an Organized Health Care Education/Training Program
TL.0006429COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine Current Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Vail Valley Emergency Physicians PC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine CurrentSince Nov 25, 2022 Accepting new patients
Sterling Regional Medcenter Past Accepting new patients

Locations

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

1280 Village Rd
Beaver Creek, CO 81620
Phone (866) 488-4558

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone (719) 571-1000

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

9949 S Oswego St
Parker, CO 80134
Phone (303) 925-4700

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036

180 S Frontage Rd W
Vail, CO 81657
Phone (866) 247-3141

Organizations & group practices 8

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 5

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1487187787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST # MC0108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-602-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST # MC0108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80204",
            "telephone_number": "303-602-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL.0006429",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0066094",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL.00007434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.