Individual provider Active NPI

Clifford Russell Greyson, MD

  • Cardiovascular Disease Physician
  • Aurora, CO
National Provider Identifier
1508824384
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
38234 Issued in CO
Practice address
1700 N Wheeling Street
Cardiology 111B, Vamc
Aurora, CO 80045
Phone
(720) 723-6061
Fax
(207) 723-7839
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G64096 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G64096 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 38234 CO
Cardiovascular Disease Physician 207RC0000X 38234 CO Primary

Addresses

Primary practice location

1700 N Wheeling Street
Cardiology 111B, Vamc
Aurora, CO 80045

Mailing address

1700 N Wheeling Street
Cardiology 111B, Vamc
Aurora, CO 80045
Phone (207) 723-6061

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
I20170608002692 CO Order and Referring Only - Cardiovascular Disease (Cardiology)Practitioner - Cardiovascular Disease (Cardiology) 4385912674

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G64096CAMDCritical Care Medicine (Internal Medicine) Physician
38234COMDCritical Care Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1508824384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N WHEELING STREET",
            "address_2": "CARDIOLOGY 111B, VAMC",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "207-723-6061",
            "fax_number": "720-723-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N WHEELING STREET",
            "address_2": "CARDIOLOGY 111B, VAMC",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "720-723-6061",
            "fax_number": "207-723-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREYSON",
        "first_name": "CLIFFORD",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G64096",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G64096",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CO",
            "license": "38234",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "38234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.