Individual provider Active NPI

Michelle Therese Chevalier, M.D.

  • Dermatology Physician
  • Littleton, CO
National Provider Identifier
1508177700
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
53586 Issued in CO
Practice address
1420 W Canal CT Ste 50
Littleton, CO 80120-5656
Phone
(303) 795-2030
Fax
(303) 795-2153
NPI assigned
Jun 23, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 53586 CO Primary

Addresses

Primary practice location

1420 W Canal CT Ste 50
Littleton, CO 80120-5656

Mailing address

1420 W Canal CT Ste 50
Littleton, CO 80120-5656
Phone (303) 795-2030

Other practice location 1

1551 Milky Way
Thornton, CO 80260-4713
Phone (303) 426-4525

Other identifiers 2

IdentifierTypeStateIssuer
255358OtherMAMASSACHUSETTS LICENSE
53586OtherCOCOLORADO LICENSE

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
I20141110000544 CO Practitioner - Dermatology 7416183090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rush Medical College of Rush University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Advanced Dermatology LLCGroup PAC ID 0143208827, 21 clinicians

Practice addresses (Care Compare)

1420 W Canal CT
Suite 50
Littleton, CO 80120-5656
Phone (303) 795-2030

3455 S Yarrow St
Lakewood, CO 80227-5031
Phone (303) 989-5231

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision49
Removal of skin lesions545
Removal or shaving of skin growth1-10
Skin biopsy422

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53586COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Advanced Dermatology LLC Dermatology CurrentSince Aug 15, 2020 Accepting new patients

Locations

125 Rampart Way
Ste 220
Denver, CO 80230
Phone (303) 261-1525

3455 S Yarrow St
Lakewood, CO 80227
Phone (303) 848-3047

1420 W Canal Ct
Ste 50
Littleton, CO 80120
Phone (303) 795-2030

Organizations & group practices 1

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": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508177700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W CANAL CT STE 50",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205656",
            "telephone_number": "303-795-2030",
            "fax_number": "303-795-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W CANAL CT STE 50",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205656",
            "telephone_number": "303-795-2030",
            "fax_number": "303-795-2153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Milky Way",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802604713",
            "country_code": "US",
            "telephone_number": "303-426-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEVALIER",
        "first_name": "MICHELLE",
        "middle_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "53586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS LICENSE",
            "identifier": "255358",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "53586",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.