Individual provider Active NPI

Natasha Eileen Fazel, DO

  • Internal Medicine Physician
  • Aurora, CO
National Provider Identifier
1629423728
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0059292 Issued in CO
Practice address
2550 S Parker Rd
Aurora, CO 80014-1622
Phone
(303) 338-4545
NPI assigned
Apr 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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 0059292 CO Primary

Addresses

Primary practice location

2550 S Parker Rd
Aurora, CO 80014-1622

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314

Other identifiers 2

IdentifierTypeStateIssuer
029603OtherCOKAISER COMMERCIAL NUMBER
9000156160MedicaidCO

Other names 1

  • Dr. Natasha Eileen Fazel-Bogorad Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

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
I20190622000036 CO Practitioner - Internal MedicinePractitioner - Hospitalist 0446584684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Permanente Medical Group PCGroup PAC ID 1254238454, 1,325 clinicians

Practice addresses (Care Compare)

2550 S Parker Rd
Suite 400
Aurora, CO 80014-1677
Phone (303) 338-4545

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
69.26
Improvement activities
40
Cost
69.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0059292COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care & Pulmonary Consultants, PC CurrentSince Jul 1, 2019 Accepting new patients
KND Development 59, LLC CurrentSince Sep 10, 2019 Accepting new patients
KND Development 59, LLC CurrentSince Sep 10, 2019 Accepting new patients
KND Development 59, LLC Current Accepting new patients
Colorado Permanente Medical Group, P.C. Internal Medicine CurrentSince Jan 13, 2025 Accepting new patients
Philippe G Lopez MD PC PastSince Jun 16, 2024 Accepting new patients

Locations

700 Potomac St
Fl 2
Aurora, CO 80011
Phone (319) 273-8992

2550 S Parker Rd
Ste 400
Aurora, CO 80014
Phone (303) 636-3350

10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350

5200 Dtc Pkwy
Ste 400
Greenwood Village, CO 80111
Phone (303) 745-0000

7100 E Belleview Ave
Ste G10
Greenwood Village, CO 80111
Phone (303) 745-0000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1629423728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 E DAKOTA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802471314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S PARKER RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141622",
            "telephone_number": "303-338-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZEL",
        "first_name": "NATASHA",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "0059292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "029603",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000156160",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2550 S Parker Rd",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800141622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "FAZEL-BOGORAD",
            "middle_name": "EILEEN",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.