Active NPI
Gareth Eli Shemesh, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Wheat Ridge, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 34284
- 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, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01342849 | Medicaid | CO | |
| 200494330B | Medicaid | KS | |
| P00159906 | Other | CO | RR 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34284 | CO | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheldon Goldberg MD PC | Physical Medicine & Rehabilitation | Current | 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. | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
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-
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-
- Orthopaedic Surgery Physician
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- NPI 1790371649
-
dba SSM Health St. Joseph Hospital - St. Charles Physician Billing
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.