Active NPI
Shahed Lewis Durando, MD
- Internal Medicine Physician
- Golden, CO
National Provider Identifier
1649454018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 51929
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51929 | Other | AZ | STATE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 51929 | AZ | MD | Internal Medicine Physician |
| 61400 | GA | MD | Hospitalist 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.