Teruel Decampo, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

21639 Issued in CO

Practice address

455 Sherman
Suite 510
Denver, CO 80203-4405

Phone

(303) 377-6825

Fax

(303) 780-0787

NPI assigned

Dec 16, 2005

Last updated

Apr 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colorado Anesthesia Consultants, P.C.

  • Anesthesiology Physician
  • Denver, CO
  • NPI 1457359820
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1558347963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SHERMAN ST",
            "address_2": "STE 510",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802034400",
            "telephone_number": "303-377-6825",
            "fax_number": "303-780-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SHERMAN",
            "address_2": "SUITE 510",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802034405",
            "telephone_number": "303-377-6825",
            "fax_number": "303-780-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECAMPO",
        "first_name": "TERUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "21639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01216399",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3506685",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107619100",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD483CO",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q7246",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100175090C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84113438513",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Anne Fenton (Lowry Speech Therapy)
• Debra S Schneider DDS LLC
• Mikayla Debramaletta
• Marcin Debski, RN
• Jessica Joy Decamillis, BA
• Lizz Valeria Decanini
• Jonathan Paul Decarlo, CAC III
• Ryan Decarlo
• Devan Danielle Decell, PA
• Melissa Anne Decelles, DNP, FNP-C

• Anesthesiology Physician in Denver, CO
• Providers in Denver, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.