Individual provider Active NPI

Gareth Eli Shemesh, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Wheat Ridge, CO
National Provider Identifier
1619980620
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
34284 Issued in CO
Practice address
4485 Wadsworth Blvd
105
Wheat Ridge, CO 80033-3318
Phone
(303) 424-6565
Fax
(303) 424-6843
NPI assigned
Aug 14, 2006
Last updated
Feb 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 34284 CO
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 34284 CO Primary

Addresses

Primary practice location

4485 Wadsworth Blvd
105
Wheat Ridge, CO 80033-3318

Mailing address

4485 Wadsworth Blvd
105
Wheat Ridge, CO 80033-3318
Phone (303) 424-6565

Other identifiers 3

IdentifierTypeStateIssuer
01342849MedicaidCO
200494330BMedicaidKS
P00159906OtherCORR MEDICARE PIN

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
I20040825000758 CO Practitioner - Physical Medicine and Rehabilitation 6901870856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheldon Goldberg MD PCGroup PAC ID 5395705073, 3 clinicians

Practice addresses (Care Compare)

8515 Pearl St
Suite 207
Thornton, CO 80229-4809
Phone (303) 424-6565

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34284COMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheldon Goldberg MD PC Physical Medicine & Rehabilitation CurrentSince Jan 22, 2014 Accepting new patients
Rocky Mountain Rehabilitaion Medicine, PC Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Rocky Mountain Rehab Medicine Past Accepting new patients
Western Orthopaedics, P.C. PastSince Apr 30, 2003 Accepting new patients

Locations

1601 E 19th Ave
Ste 4400
Denver, CO 80218
Phone (303) 424-6565

8451 Pearl St
Ste 101
Thornton, CO 80229
Phone (303) 288-3000

8515 Pearl St
Ste 207
Thornton, CO 80229
Phone (303) 424-6505

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1619980620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 WADSWORTH BLVD",
            "address_2": "105",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333318",
            "telephone_number": "303-424-6565",
            "fax_number": "303-424-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 WADSWORTH BLVD",
            "address_2": "105",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333318",
            "telephone_number": "303-424-6565",
            "fax_number": "303-424-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEMESH",
        "first_name": "GARETH",
        "middle_name": "ELI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "34284",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CO",
            "license": "34284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01342849",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200494330B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00159906",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.