NPIMap

Individual provider Active NPI

Laurence A Berarducci, M. D.

  • Cardiovascular Disease Physician
  • Pueblo, CO
National Provider Identifier
1669478541
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
51214 Issued in CO
Practice address
3670 Parker Blvd
Suite 101
Pueblo, CO 81008-2285
Phone
(719) 564-1544
Fax
(719) 924-1593
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 102133 MO
Cardiovascular Disease Physician 207RC0000X 51214 CO Primary

Addresses

Primary practice location

3670 Parker Blvd
Suite 101
Pueblo, CO 81008-2285

Mailing address

3670 Parker Blvd
Suite 101
Pueblo, CO 81008-2285
Phone (719) 564-1544

Other identifiers 2

IdentifierTypeStateIssuer
P01102505OtherCORAILROAD MEDICARE
39223361MedicaidCO

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
I20120821000120 CO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507768017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Wayne State University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

109 Latigo LN
Suite E
Canon City, CO 81212-8113
Phone (719) 562-2900

3670 Parker Blvd
Suite 101
Pueblo, CO 81008-2285
Phone (719) 562-2900

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

  • Parkview Medical Center, Inc Hospital, Pueblo, CO, CCN 060020
  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012
  • Heart of the Rockies Regional Medical Center Hospital, Salida, CO, CCN 061322
  • Arkansas Valley Regional Medical Center Hospital, Lajuna, CO, CCN 061336

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51214COMDCardiovascular Disease Physician
102133MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Rocky Mountain Cancer Centers LLP PastSince Aug 1, 2021 Accepting new patients
Metro Heart Group of St. Louis, Inc. Past Accepting new patients
Parkview Medical Center, Inc. Past Accepting new patients
Fairview Heights Medical Group SC Past Accepting new patients

Locations

109 Latigo Ln
Ste E
Canon City, CO 81212
Phone (719) 562-2900

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

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

1600 N Grand Ave
Ste 500B
Pueblo, CO 81003
Phone (719) 562-2900

3670 Parker Blvd
Pueblo, CO 81008
Phone (719) 562-2900

3670 Parker Blvd
Ste 101
Pueblo, CO 81008
Phone (719) 562-2900

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

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.

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1669478541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 PARKER BLVD",
            "address_2": "SUITE 101",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082285",
            "telephone_number": "719-564-1544",
            "fax_number": "719-924-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 PARKER BLVD",
            "address_2": "SUITE 101",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082285",
            "telephone_number": "719-564-1544",
            "fax_number": "719-924-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARDUCCI",
        "first_name": "LAURENCE",
        "middle_name": "A",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "102133",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "51214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01102505",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39223361",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.