Individual provider Active NPI

Shahed Lewis Durando, MD

  • Internal Medicine Physician
  • Golden, CO
National Provider Identifier
1649454018
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51929 Issued in AZ
Practice address
Golden Cboc
1020 Johnson Rd
Golden, CO 80401-6002
Phone
(303) 914-2680
NPI assigned
Dec 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51929 AZ Primary
Hospitalist Physician 208M00000X 61400 GA

Addresses

Primary practice location

Golden Cboc
1020 Johnson Rd
Golden, CO 80401-6002

Mailing address

Rocky Mountain Regional VA Medical Center
1700 North Wheeling Street
Aurora, CO 80045
Phone (303) 399-8020

Other practice location 1

1670 Clairmont Road
Atlanta VA Hospital
Decatur, GA 30033
Phone (404) 321-6111 ext. 4337

Other practice location 2

3601 S 6th Ave
Tucson, AZ 85723-0001
Phone (520) 629-4883

Other identifiers 1

IdentifierTypeStateIssuer
51929OtherAZSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20110114000571 GA Practitioner - Internal Medicine 5092904508 Practice locations: Decatur, GA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51929AZMDInternal Medicine Physician
61400GAMDHospitalist Physician

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1649454018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROCKY MOUNTAIN REGIONAL VA MEDICAL CENTER",
            "address_2": "1700 NORTH WHEELING STREET",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "303-399-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GOLDEN CBOC",
            "address_2": "1020 JOHNSON RD",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016002",
            "telephone_number": "303-914-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1670 Clairmont Road",
            "address_2": "Atlanta VA Hospital",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "30033",
            "country_code": "US",
            "telephone_number": "404-321-6111 x4337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 S 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857230001",
            "country_code": "US",
            "telephone_number": "520-629-4883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURANDO",
        "first_name": "SHAHED",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "51929",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "61400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "51929",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.