Active NPI
Conrad J Tirre, M.D.
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- License
- 31474
- Practice address
- 2535 S Downing St
Suite 440
Denver, CO 80210-5847 - Phone
- (303) 832-3965
- Fax
- (303) 957-5990
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 31474 | CO | Primary |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 31474 | CO |
Addresses
Primary practice location
2535 S Downing St
Suite 440
Denver, CO 80210-5847
Mailing address
2535 S Downing St
Suite 440
Denver, CO 80210-5847
Phone (303) 832-3965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01314749 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Saint Louis University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
78 -6831 Alii Dr
Suite 328
Kailua Kona, HI 96740-4408
Phone (808) 747-8321
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.05 of 100
- Quality
- 89.81
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31474 | CO | MD | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ali'I Health Center | Current | Accepting new patients | |
| Alii Health Center | Current | Accepting new patients | |
| David P. Schnur M.D. P.C. | Past | Accepting new patients | |
| Alii Health Center | Past | Accepting new patients |
Locations
78-6831 Alii Dr
Ste 418
Kailua Kona, HI 96740
Phone (808) 747-8725
78-6831 Alii Dr
Ste 328
Kailua Kona, HI 96740
Phone (808) 747-8321
78-6831 Alii Dr
Ste 422
Kailua Kona, HI 96740
Phone (808) 747-8321
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Kailua Kona, HI
- NPI 1285107698
-
- Ambulatory Surgical Clinic/Center
- Kailua Kona, HI
- NPI 1144949967
-
- Plastic Surgery Physician
- Denver, CO
- NPI 1295162832
-
- Urology Physician
- Kailua Kona, HI
- NPI 1225620321
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kealakekua, HI
- NPI 1952332991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1538143235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 S DOWNING ST",
"address_2": "SUITE 440",
"city": "DENVER",
"state": "CO",
"postal_code": "802105847",
"telephone_number": "303-832-3965",
"fax_number": "303-957-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 S DOWNING ST",
"address_2": "SUITE 440",
"city": "DENVER",
"state": "CO",
"postal_code": "802105847",
"telephone_number": "303-832-3965",
"fax_number": "303-957-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRRE",
"first_name": "CONRAD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "CO",
"license": "31474",
"primary": true
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "CO",
"license": "31474",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01314749",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.