Tatyana I Datkhaeva, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

45108 Issued in CO

Practice address

6825 E Tennessee Ave Ste 620
Denver, CO 80224-1672

Phone

(720) 536-5126

Fax

(303) 432-2216

NPI assigned

Mar 13, 2007

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Medical RTD Inc

  • Family Medicine Physician
  • Wheat Ridge, CO
  • NPI 1912030743
  NPD (past) Authorized official
• Dyr Surgassist Inc

  • Surgery Physician
  • Westminster, CO
  • NPI 1093757627
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609909423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 E TENNESSEE AVE STE 620",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241672",
            "telephone_number": "720-536-5126",
            "fax_number": "303-432-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 E TENNESSEE AVE STE 620",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241672",
            "telephone_number": "720-536-5126",
            "fax_number": "303-432-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATKHAEVA",
        "first_name": "TATYANA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "45108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMIES",
            "identifier": "207Q00000X",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE",
            "identifier": "45108  CO",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39276813",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricardo Bernardo Dasilva, D.D.S.
• Cheryl Ann Dasler, M.D.
• Emily Daspit, LPC
• Jonathan Datar, MD
• Datg LLC
• Taylor Nicole Datzko
• Kyle Daughenbaugh, M.S., CCC-SLP
• Emily Daugherty, M.S., CCC-SLP
• Joshua Raphael Daugherty, LPC
• Rachel Marie Daugherty, PHARM.D.

• Family Medicine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.