NPIMap

Individual provider Active NPI

Michelle T Hagstrom, M.D.

  • Emergency Medicine Physician
  • Denver, CO
National Provider Identifier
1659478436
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
50851 Issued in CO
Practice address
2525 S Downing St
Emergency Dept
Denver, CO 80210-5817
Phone
(720) 283-6700
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.119966 IL
Emergency Medicine Physician 207P00000X 50851 CO Primary
Emergency Medicine Physician 207P00000X 2011040062 MO

Addresses

Primary practice location

2525 S Downing St
Emergency Dept
Denver, CO 80210-5817

Mailing address

10390 Rowlock Way
Parker, CO 80134-9578
Phone (720) 838-8832

Other identifiers 1

IdentifierTypeStateIssuer
209880608MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121011000866 CO Practitioner - Emergency Medicine 9739189978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Colorado School of Medicine, Denver, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50851COMDEmergency Medicine Physician
036.119966ILMDEmergency Medicine Physician
2011040062MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Mar 1, 2019 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 1, 2019 Accepting new patients
University Physicians, Incorporated CurrentSince May 1, 2018 Accepting new patients
University Physicians Incorporated Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Morgan Emergency Group, LLC Emergency Medicine CurrentSince Apr 27, 2015 Accepting new patients
North County Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

15300 E Mississippi Ave
Aurora, CO 80017
Phone (303) 671-4140

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

875 W 136th Ave
Broomfield, CO 80023
Phone (303) 457-7700

11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

Dept 1061
Denver, CO 80256

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

1500 Park Central Dr
Littleton, CO 80129
Phone (720) 516-1000

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

16990 Village Center Dr E
Parker, CO 80134
Phone (303) 805-3020

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1659478436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10390 ROWLOCK WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349578",
            "telephone_number": "720-838-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S DOWNING ST",
            "address_2": "EMERGENCY DEPT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105817",
            "telephone_number": "720-283-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGSTROM",
        "first_name": "MICHELLE",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.119966",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "50851",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2011040062",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209880608",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.