NPIMap

Individual provider Active NPI

Edward W Cetaruk, MD

  • Medical Toxicology (Emergency Medicine) Physician
  • Denver, CO
National Provider Identifier
1578533154
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Toxicology (Emergency Medicine) PhysicianTaxonomy code 207PT0002X
License
DR.0034578 Issued in CO
Practice address
2555 S Downing St
Suite 260
Denver, CO 80210-5855
Phone
(303) 765-3800
Fax
(303) 765-3804
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34578 CO
Medical Toxicology (Emergency Medicine) Physician 207PT0002X DR.0034578 CO Primary

Addresses

Primary practice location

2555 S Downing St
Suite 260
Denver, CO 80210-5855

Mailing address

2555 S Downing St
Suite 260
Denver, CO 80210-5855
Phone (303) 765-3800

Other identifiers 2

IdentifierTypeStateIssuer
92374875MedicaidCO
01345784MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823000883 CO Practitioner - Medical ToxicologyPractitioner - Emergency MedicinePractitioner - Other (Physician) 2769456037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical ToxicologyAlso: Emergency Medicine
Education
New York University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34578COMDEmergency Medicine Physician
DR.0034578COMDMedical Toxicology (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince May 1, 2018 Accepting new patients
University Physicians Incorporated Emergency Medicine Current Accepting new patients
University Physicians, Incorporated CurrentSince May 1, 2018 Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

875 W 136th Ave
Broomfield, CO 80023
Phone (303) 457-7700

11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

Dept 1061
Denver, CO 80256

1500 Park Central Dr
Littleton, CO 80129
Phone (720) 516-1000

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

16990 Village Center Dr E
Parker, CO 80134
Phone (303) 805-3020

12020 Colorado Blvd
Thornton, CO 80241
Phone (303) 255-6940

Organizations & group practices 3

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.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1578533154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 S DOWNING ST",
            "address_2": "SUITE 260",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105855",
            "telephone_number": "303-765-3800",
            "fax_number": "303-765-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S DOWNING ST",
            "address_2": "SUITE 260",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105855",
            "telephone_number": "303-765-3800",
            "fax_number": "303-765-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CETARUK",
        "first_name": "EDWARD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "34578",
            "primary": false
        },
        {
            "code": "207PT0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": "CO",
            "license": "DR.0034578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92374875",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01345784",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.