Individual provider Active NPI

Michael Darosa, DO

  • Sports Medicine (Family Medicine) Physician
  • Denver, CO
National Provider Identifier
1629232152
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
DR.0048362 Issued in CO
Practice address
1960 N Ogden St Ste 30
Denver, CO 80218-3667
Phone
(317) 355-5717
Fax
(317) 355-3760
NPI assigned
Jul 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02003816A IN
Sports Medicine (Family Medicine) Physician 207QS0010X 02003816A IN
Student in an Organized Health Care Education/Training Program 390200000X TL2906 CO
Sports Medicine (Family Medicine) Physician 207QS0010X DR.0048362 CO Primary

Addresses

Primary practice location

1960 N Ogden St Ste 30
Denver, CO 80218-3667

Mailing address

1960 N Ogden St Ste 30
Denver, CO 80218-3667
Phone (303) 318-3595

Other identifiers 3

IdentifierTypeStateIssuer
201074580MedicaidIN
86525549MedicaidCO
P01214229OtherINRR MEDICARE PTAN

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
I20150714001824 CO Practitioner - Family PracticePractitioner - Sports Medicine 7911157516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

1960 N Ogden St
Denver, CO 80218-3667

1960 N Ogden St
460 Bruner Family Medicine
Denver, CO 80218-3670
Phone (303) 318-2500

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02003816AINMDFamily Medicine Physician
TL2906COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 1, 2015 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 1, 2015 Accepting new patients
Uptown Community Health Center Inc Family Medicine CurrentSince Nov 15, 2022 Accepting new patients
Uptown Community Health Center Inc CurrentSince Nov 15, 2022 Accepting new patients

Locations

500 Eldorado Blvd
Ste 6250
Broomfield, CO 80021
Phone (303) 272-0750

1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500

1960 N Ogden St
Ste 340
Denver, CO 80218
Phone (303) 318-3816

1830 N Franklin St
Ste 340
Denver, CO 80218
Phone (303) 318-3330

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

1960 N Ogden St
Ste 30
Denver, CO 80218
Phone (303) 318-1332

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1629232152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 N OGDEN ST STE 30",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183667",
            "telephone_number": "303-318-3595",
            "fax_number": "303-318-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 N OGDEN ST STE 30",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183667",
            "telephone_number": "317-355-5717",
            "fax_number": "317-355-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAROSA",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02003816A",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IN",
            "license": "02003816A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL2906",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CO",
            "license": "DR.0048362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201074580",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86525549",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P01214229",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.