NPIMap

Individual provider Active NPI

Cherry M Delosreyes, MD

  • Internal Medicine Physician
  • Aurora, CO
National Provider Identifier
1629013057
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36283 Issued in CO
Practice address
3035 S Parker Rd
Suite 554
Aurora, CO 80014-2926
Phone
(303) 338-9111
Fax
(303) 338-9122
NPI assigned
Jun 19, 2006
Last updated
Jun 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36283 CO Primary

Addresses

Primary practice location

3035 S Parker Rd
Suite 554
Aurora, CO 80014-2926

Mailing address

3035 S Parker Rd
Suite 554
Aurora, CO 80014-2926
Phone (303) 338-9111

Other identifiers 1

IdentifierTypeStateIssuer
01362839MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429001044 CO Practitioner - Internal Medicine 5294720769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3035 S Parker Rd
Suite 554
Aurora, CO 80014-2936
Phone (303) 338-9111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36283COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Denver Medical Clinic, PC Internal Medicine CurrentSince Dec 1, 2003 Accepting new patients
Senior Care of Colorado, PC PastSince Sep 1, 2010 Accepting new patients

Locations

3035 S Parker Rd
Ste 554
Aurora, CO 80014
Phone (303) 338-9111

3464 S Willow St
Ste 335
Denver, CO 80231

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGDAAA/Endpoint/FGDAAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1629013057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 S PARKER RD",
            "address_2": "SUITE 554",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142926",
            "telephone_number": "303-338-9111",
            "fax_number": "303-338-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 S PARKER RD",
            "address_2": "SUITE 554",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142926",
            "telephone_number": "303-338-9111",
            "fax_number": "303-338-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOSREYES",
        "first_name": "CHERRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "36283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01362839",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.