NPIMap

Organization Active NPI

Denver Clinic

  • Sleep Medicine (Internal Medicine) Physician
  • Denver, CO
National Provider Identifier
1548758964
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
DENVER CLINIC
Practice address
1525 Raleigh St
Denver, CO 80204
Phone
(303) 433-2565
Fax
(303) 745-6264
NPI assigned
May 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Mauricio Luder WaintrubNPI 1417900200
Title
President
Phone
(303) 337-5575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

1525 Raleigh St
Denver, CO 80204

Mailing address

1360 S Potomac St
Aurora, CO 80012-4505
Phone (303) 337-5575

Other identifiers 1

IdentifierTypeStateIssuer
13037366MedicaidCO

Other names 2

  • Denver Clinic Doing business as
  • Clinica Denver Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1050815Clinica Denver1525 Raleigh St, Unit 220, Denver, CO 80204Certificate of waiverJul 25, 2028

National Provider Directory

National Provider Directory
Tax ID family
Mauricio Waintrub MDPC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1525 Raleigh St
Denver, CO 80204
Phone (303) 433-2565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1548758964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 S POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124505",
            "telephone_number": "303-337-5575",
            "fax_number": "303-745-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 RALEIGH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80204",
            "telephone_number": "303-433-2565",
            "fax_number": "303-745-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "WAINTRUB",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_middle_name": "LUDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-337-5575"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13037366",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinica Denver",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Clinica Denver",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.