NPIMap

Individual provider Active NPI

Nathaniel A Morin, DO

  • Emergency Medicine Physician
  • Aurora, CO
National Provider Identifier
1659639441
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
CL0520 Issued in NV
Practice address
12505 E. 16TH Ave
Aurora, CO 80045
Phone
(720) 848-0000
NPI assigned
Apr 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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 5101020455 MI
Emergency Medicine Physician 207P00000X DR0058060 CO
Emergency Medicine Physician 207P00000X CL0520 NV Primary

Addresses

Primary practice location

12505 E. 16TH Ave
Aurora, CO 80045

Mailing address

1850 22ND St Apt 10
Boulder, CO 80302-5627
Phone (042) 940-5109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170501001583 CO Practitioner - Emergency Medicine 3779710512 Reassigns benefits to 3 organizations
I20240728000129 NV Practitioner - Emergency Medicine 3779710512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lincoln Memorial University Medical Department, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fremont Emergency Services Scherr LTDGroup PAC ID 4880684554, 135 clinicians
Boulder Emergency Physicians P.C.Group PAC ID 4385556414, 10 clinicians

Practice addresses (Care Compare)

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (856) 686-4394

4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 415-7000

Hospital & facility affiliations

  • Boulder Community Health Hospital, Boulder, CO, CCN 060027
  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047
  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0058060COMDEmergency Medicine Physician
CL0520NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Emergency Services Scherr LTD Emergency Medicine Current Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine CurrentSince Apr 15, 2017 Accepting new patients
Prowers County Hospital District CurrentSince Jan 20, 2022 Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine CurrentSince Apr 15, 2017 Accepting new patients
Boulder Emergency Physicians PC Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Boulder Emergency Physicians PC Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

9075 Blue Diamond Rd
Las Vegas, NV 89178
Phone (702) 916-5000

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9002

7207 Aliante Pkwy
Ste N
North Las Vegas, NV 89084

Organizations & group practices 7

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.

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1659639441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 22ND ST APT 10",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025627",
            "telephone_number": "042-940-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 E. 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIN",
        "first_name": "NATHANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101020455",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR0058060",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "CL0520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.