NPIMap

Individual provider Active NPI

Shabana Jiwani, M.D.

  • Internal Medicine Physician
  • Aurora, CO
National Provider Identifier
1609829365
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36284 Issued in CO
Practice address
1360 S Potomac St
130
Aurora, CO 80012-4505
Phone
(303) 337-5575
Fax
(303) 745-6264
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36284 CO Primary

Addresses

Primary practice location

1360 S Potomac St
130
Aurora, CO 80012-4505

Mailing address

1360 S Potomac St
130
Aurora, CO 80012-4505
Phone (303) 337-5575

Other identifiers 1

IdentifierTypeStateIssuer
1362847MedicaidCO

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
I20100422000963 CO Practitioner - Internal Medicine 3678600665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mauricio Waintrub, M.D., P.CGroup PAC ID 0042118192, 27 clinicians

Practice addresses (Care Compare)

1360 S Potomac St
Aurora, CO 80012-4505

56441 E Colfax Ave
Strasburg, CO 80136-7741
Phone (303) 337-5575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions203
Skin biopsy14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36284COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mauricio Waintrub, M.D., P.C Internal Medicine CurrentSince Apr 10, 2000 Accepting new patients

Locations

1360 S Potomac St
Ste 100
Aurora, CO 80012

1360 S Potomac St
Denver, CO 80012
Phone 30333755752023

56441 E Colfax Ave
Strasburg, CO 80136
Phone (303) 622-9241

Organizations & group practices 1

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 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1609829365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 S POTOMAC ST",
            "address_2": "130",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124505",
            "telephone_number": "303-337-5575",
            "fax_number": "303-745-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S POTOMAC ST",
            "address_2": "130",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124505",
            "telephone_number": "303-337-5575",
            "fax_number": "303-745-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIWANI",
        "first_name": "SHABANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "36284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1362847",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.