Active NPI
Gregory John Starsiak Jr., DO
- Family Medicine Physician
- Thornton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0070915
- Practice address
- 4075 E 128TH Ave
Thornton, CO 80241-2201 - Phone
- (303) 925-4210
- Fax
- (303) 925-4212
- NPI assigned
- Apr 2, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0070915 | CO | Primary |
Addresses
Primary practice location
4075 E 128TH Ave
Thornton, CO 80241-2201
Mailing address
4075 E 128TH Ave
Thornton, CO 80241-2201
Phone (262) 957-6648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0487504 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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
- Family Practice
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4075 E 128TH Ave
TNNH Primary Care
Thornton, CO 80241-2201
Phone (303) 925-4210
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Family Medicine | Current | Accepting new patients |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Iniatives Colorado | Past | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients |
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
4075 E 128th Ave
Thornton, CO 80241
Phone (303) 925-4210
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- Family Medicine Physician
- Thornton, CO
- NPI 1215346432
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1619985942
-
- Neurological Surgery Physician
- Lakewood, CO
- NPI 1205846664
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1619985942
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1013557545
-
- Emergency Care Clinic/Center
- Westminster, CO
- NPI 1093355604
Hospital
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1568002095
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1831739440
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1912547449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1578025367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4075 E 128TH AVE",
"city": "THORNTON",
"state": "CO",
"postal_code": "802412201",
"telephone_number": "262-957-6648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4075 E 128TH AVE",
"city": "THORNTON",
"state": "CO",
"postal_code": "802412201",
"telephone_number": "303-925-4210",
"fax_number": "303-925-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARSIAK",
"first_name": "GREGORY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-02",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0070915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0487504",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.