Individual provider Active NPI

Jennifer De Toledo Mallek, M.D.

  • Anesthesiology Physician
  • Wheat Ridge, CO
National Provider Identifier
1588950513
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
CDRH.0056931 Issued in CO
Practice address
12911 W 40TH Ave
Wheat Ridge, CO 80401-2696
Phone
(303) 425-4500
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME123239 FL
Anesthesiology Physician 207L00000X CDRH.0056931 CO Primary
Anesthesiology Physician 207L00000X TRN15938 FL

Addresses

Primary practice location

12911 W 40TH Ave
Wheat Ridge, CO 80401-2696

Mailing address

PO Box 650823
Dallas, TX 75265-0823

Other practice location 1

12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000

Other practice location 2

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-4479

Other practice location 3

1600 Prairie Center Pkwy
Brighton, CO 80601-4006
Phone (303) 422-9438

Other identifiers 3

IdentifierTypeStateIssuer
014756100MedicaidFL
1588950513MedicaidCO
TRN15938OtherFLTRAINING LICENCE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011000705 CO Practitioner - Anesthesiology 5991946873 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Anesthesia Specialists of ColoradoGroup PAC ID 0446603138, 9 clinicians

Practice addresses (Care Compare)

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

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-4479

7535 E Hampden Ave
Suite 410
Denver, CO 80231-4843
Phone (720) 335-9764

777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDRH.0056931COMDAnesthesiology Physician
TRN15938FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated Anesthesiology Current Accepting new patients
Boulder Valley Anesthesiology, PLLC Anesthesiology CurrentSince May 1, 2021 Accepting new patients
5280 Anesthesia PC Anesthesiology CurrentSince Jan 2, 2020 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Nov 1, 2025 Accepting new patients
Elite Anesthesia Concepts Inc Anesthesiology CurrentSince Feb 27, 2024 Accepting new patients
University Physicians, Incorporated CurrentSince Apr 1, 2024 Accepting new patients
Epic Anesthesia PC Anesthesiology CurrentSince Jan 2, 2020 Accepting new patients
Physician Anesthesia Services PC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Anesthesia Specialists of Colorado Anesthesiology CurrentSince Aug 15, 2025 Accepting new patients
University Physicians Incorporated CurrentSince Apr 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Nov 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Diehl Anesthesia Inc Anesthesiology CurrentSince Dec 4, 2019 Accepting new patients
Holly D Kent MD PC PastSince Aug 15, 2025 Accepting new patients

Locations

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

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

4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000

1100 Balsam Ave
Boulder, CO 80304
Phone (303) 415-7000

7535 E Hampden Ave
Ste 410
Denver, CO 80231
Phone (303) 777-5006

Dept 1061
Denver, CO 80256

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

1390 Dry Creek Dr
Ste B
Longmont, CO 80503
Phone (303) 805-7477

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

9397 Crown Crest Blvd
Ste 110
Parker, CO 80138
Phone (720) 974-6499

10170 Church Ranch Way
Westminster, CO 80021
Phone (303) 328-3400

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1588950513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650823",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 W 40TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "804012696",
            "telephone_number": "303-425-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12605 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452545",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14300 Orchard Pkwy",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800239206",
            "country_code": "US",
            "telephone_number": "720-627-4479",
            "fax_number": "720-627-3382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Prairie Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "CO",
            "postal_code": "806014006",
            "country_code": "US",
            "telephone_number": "303-422-9438",
            "fax_number": "303-422-9474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLEK",
        "first_name": "JENNIFER",
        "middle_name": "DE TOLEDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME123239",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "CDRH.0056931",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "TRN15938",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014756100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588950513",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING LICENCE",
            "identifier": "TRN15938",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.