NPIMap

Individual provider Active NPI

Laura Z. Fenton, MD

  • Pediatric Radiology Physician
  • Aurora, CO
National Provider Identifier
1508842451
Registry record updated Nov 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
DR.0036952 Issued in CO
Practice address
13123 E 16TH Ave
Aurora, CO 80045-7106
Phone
(720) 777-1234
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 36952 CO
Pediatric Radiology Physician 2085P0229X DR.0036952 CO Primary

Addresses

Primary practice location

13123 E 16TH Ave
Aurora, CO 80045-7106

Mailing address

PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000

Other identifiers 16

IdentifierTypeStateIssuer
667418761AMedicaidGA
60037750MedicaidNM
01369529MedicaidCO
100364650BMedicaidKS
525115MedicaidAZ
P00123278OtherCORR MCRE MIC
1508842451MedicaidMT
805662900MedicaidID
XPY203764MedicaidCA
104686104MedicaidMI
P00123269OtherCORR MCRE DIA
1546820MedicaidIA
060974502MedicaidTX
100020300AMedicaidOK
114854100MedicaidWY
P00123276OtherCORR MCRE RIA

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
I20040622001233 CO Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Pediatric Medicine 9133104284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine, Pediatric Medicine
Education
University of Florida College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

Hospital & facility affiliations

  • Children'S Hospital Colorado Hospital, Aurora, CO, CCN 063301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36952COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Colorado Current Accepting new patients
University Physicians, Incorporated CurrentSince May 30, 2010 Accepting new patients
University Physicians Incorporated CurrentSince May 30, 2010 Accepting new patients
Radiology Imaging of Nebraska, LLC Diagnostic Radiology Past Accepting new patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Diagnostic Radiology Past Accepting new patients
Radiology Imaging Associates, PC Diagnostic Radiology Past Accepting new patients
Diagnostic Imaging Associates Pediatric Radiology Past Accepting new patients

Locations

13123 E 16th Ave
Fl 4
Aurora, CO 80045
Phone (303) 724-6277

13123 E 16th Ave
Ste B130
Aurora, CO 80045

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

4090 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 305-1234

1400 Jackson St
Denver, CO 80206
Phone (303) 388-4461

Dept 1061
Denver, CO 80256

Interoperability endpoints

  • Direct secure messaging: lfenton14744@direct.childrenscolorado.org

Organizations & group practices 7

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542412800000",
    "number": "1508842451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429",
            "telephone_number": "303-493-7000",
            "fax_number": "303-493-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13123 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457106",
            "telephone_number": "720-777-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "LAURA",
        "middle_name": "Z.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2018-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "36952",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CO",
            "license": "DR.0036952",
            "primary": true
        }
    ],
    "identifiers": [
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            "desc": "MEDICAID",
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            "code": "05",
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            "identifier": "60037750",
            "state": "NM"
        },
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            "code": "05",
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            "issuer": null,
            "identifier": "100364650B",
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        },
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            "issuer": null,
            "identifier": "525115",
            "state": "AZ"
        },
        {
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            "issuer": "RR MCRE MIC",
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            "state": "CO"
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        {
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            "issuer": null,
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            "identifier": "XPY203764",
            "state": "CA"
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            "code": "05",
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            "issuer": null,
            "identifier": "104686104",
            "state": "MI"
        },
        {
            "code": "01",
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            "issuer": "RR MCRE DIA",
            "identifier": "P00123269",
            "state": "CO"
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        {
            "code": "05",
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            "identifier": "1546820",
            "state": "IA"
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            "identifier": "060974502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100020300A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114854100",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCRE RIA",
            "identifier": "P00123276",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.