Individual provider Active NPI

Chrys Ann Synstegard, MD

  • Pediatrics Physician
  • Lakewood, CO
National Provider Identifier
1508835513
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
39053 Issued in CO
Practice address
2020 Wadsworth Blvd Suite 16
Rocky Mountain Pediatrics PC
Lakewood, CO 80214-5730
Phone
(303) 233-8701
Fax
(303) 233-2850
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 39053 CO Primary

Addresses

Primary practice location

2020 Wadsworth Blvd Suite 16
Rocky Mountain Pediatrics PC
Lakewood, CO 80214-5730

Mailing address

2020 Wadsworth Blvd
Suite 16
Lakewood, CO 80214-5730
Phone (303) 233-8701

Other identifiers 1

IdentifierTypeStateIssuer
23592OtherWISCONSIN STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171208002335 TX Practitioner - Pediatric Medicine 5698031854 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39053COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Jan 13, 2020 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Apr 2, 2024 Accepting new patients
High Plains Eye Health Center, Inc. Past Accepting new patients
Rocky Mountain Pediatrics PC Pediatrics PastSince Aug 10, 2010 Accepting new patients

Locations

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508835513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WADSWORTH BLVD",
            "address_2": "SUITE 16",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145730",
            "telephone_number": "303-233-8701",
            "fax_number": "303-233-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WADSWORTH BLVD SUITE 16",
            "address_2": "ROCKY MOUNTAIN PEDIATRICS PC",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145730",
            "telephone_number": "303-233-8701",
            "fax_number": "303-233-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYNSTEGARD",
        "first_name": "CHRYS",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "39053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN STATE LICENSE",
            "identifier": "23592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.