Active NPI
Thomas K Mayeda, MD
- Internal Medicine Physician
- Lakewood, CO
National Provider Identifier
1609873306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21404
- Practice address
- 7373 W Jefferson Ave
#103
Lakewood, CO 80235-2038 - Phone
- (303) 989-1284
- Fax
- (303) 988-6229
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21404 | CO | Primary |
Addresses
Primary practice location
7373 W Jefferson Ave
#103
Lakewood, CO 80235-2038
Mailing address
7373 W Jefferson Ave
#103
Lakewood, CO 80235-2038
Phone (303) 989-1284
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66163 | Other | CO | BLUE CROSS/BLUE SHIELD |
| 012-140-48 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Porter Ekg Interpretation Service | Internal Medicine | Past | Accepting new patients |
| Littleton Ekg Interpretation Group | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Littleton, CO
- NPI 1306804604
Internal Medicine
-
- Internal Medicine Physician
- Englewood, CO
- NPI 1689632176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1609873306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7373 W JEFFERSON AVE",
"address_2": "#103",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802352038",
"telephone_number": "303-989-1284",
"fax_number": "303-988-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7373 W JEFFERSON AVE",
"address_2": "#103",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802352038",
"telephone_number": "303-989-1284",
"fax_number": "303-988-6229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYEDA",
"first_name": "THOMAS",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "21404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "66163",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012-140-48",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.