Active NPI
Michael Darosa, DO
- Sports Medicine (Family Medicine) Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- DR.0048362
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201074580 | Medicaid | IN | |
| 86525549 | Medicaid | CO | |
| P01214229 | Other | IN | RR 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 02003816A | IN | MD | Family Medicine Physician |
| TL2906 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Family Medicine | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Uptown Community Health Center Inc | Family Medicine | Current | Accepting new patients |
| Uptown Community Health Center Inc | Current | 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.
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
- Family Medicine Physician
- Denver, CO
- NPI 1598408973
-
- General Practice Physician
- Wheat Ridge, CO
- NPI 1063020923
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
- Federally Qualified Health Center (FQHC)
- Denver, CO
- NPI 1619844669
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Littleton, CO
- NPI 1164071296
-
- General Acute Care Hospital
- Denver, CO
- NPI 1417946021
-
- General Acute Care Hospital
- Northglenn, CO
- NPI 1427607464
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1619526746
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.