Active NPI
Mauricio Waintrub, M.D., P.C.
- Geriatric Medicine (Internal Medicine) Physician
- Strasburg, CO
National Provider Identifier
1619992542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 34568
- Legal business name
- MAURICIO WAINTRUB, M.D., P.C.
- Doing business as
- Strasburg Clinic
- Practice address
- 56441 E Colfax Ave
Strasburg, CO 80136-7741 - Phone
- (303) 622-9241
- Fax
- (303) 622-6880
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mauricio Waintrub, M.D.
- Title
- President
- Phone
- (303) 337-5575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 34568 | CO | Primary |
Addresses
Primary practice location
56441 E Colfax Ave
Strasburg, CO 80136-7741
Mailing address
56441 E Colfax Ave
Strasburg, CO 80136-7741
Phone (303) 622-9241
Other names 1
- Strasburg Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031226000381 | CO | Part B Supplier - Clinic/Group Practice | 0042118192 |
Receives reassigned benefits from 49 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Denver, CO; Strasburg, CO; Aurora, CO |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681344000000",
"number": "1619992542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56441 E COLFAX AVE",
"city": "STRASBURG",
"state": "CO",
"postal_code": "801367741",
"telephone_number": "303-622-9241",
"fax_number": "303-622-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56441 E COLFAX AVE",
"city": "STRASBURG",
"state": "CO",
"postal_code": "801367741",
"telephone_number": "303-622-9241",
"fax_number": "303-622-6880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAURICIO WAINTRUB, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A",
"authorized_official_last_name": "WAINTRUB",
"authorized_official_first_name": "MAURICIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-337-5575",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CO",
"license": "34568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Strasburg Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Strasburg, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.