Theodore S Wirecki, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20856 Issued in CO

Practice address

1660 S Albion St
Suite 831
Denver, CO 80222-4046

Phone

(303) 618-2303

Fax

(303) 558-1497

NPI assigned

Apr 4, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2014 through Apr 1, 2028

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 and National Provider Directory roles.

• Theodore S Wirecki MD PC

  • Psychiatry Physician
  • Denver, CO
  • NPI 1548566383
  NPD (past) Authorized official
• TMS Center of Colorado, LLC

  • Psychiatry Physician
  • Denver, CO
  • NPI 1477864684
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1578525606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 S ALBION ST",
            "address_2": "SUITE 831",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224046",
            "telephone_number": "303-618-2303",
            "fax_number": "303-558-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S ALBION ST",
            "address_2": "SUITE 831",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224046",
            "telephone_number": "303-618-2303",
            "fax_number": "303-558-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRECKI",
        "first_name": "THEODORE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "20856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01208560",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Winters, NP
• Taylor M Winters, PA
• Chad Winthrop, DMD
• Suzzie Lisibach Winton
• Seth J Wintroub, PSY.D.
• Lauran Wirfs, DO
• Patiphan Wiriyasombat
• Kristie Wirth
• Wisconsin I.V. Affiliates, LLC
• Wisconsin Kidney Care, S.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.