Khashaiar Charepoo, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

39194 Issued in CO

Practice address

1017 W 7TH St
Wray, CO 80758-1420

Phone

(970) 332-4895

Fax

(970) 332-4665

NPI assigned

Aug 8, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/ntTIZxOIDS2tB2PUqr33FYQo0UWd2W9R/
• Direct secure messaging: khashaiarcharepoo@wrayhospital.cernerdirect.com

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.

• Wray Community District Hospital

  dba The Wray Clinic

  • General Practice Physician
  • Wray, CO
  • NPI 1477587202
  Medicare reassignment NPD
• Wray Community District Hospital

  • Critical Access Hospital
  • Wray, CO
  • NPI 1083640239
  NPD
• Wray Community District Hospital

  dba Wray Physical Therapy

  • Physical Therapist
  • Wray, CO
  • NPI 1912486820
  NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669482279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W 7TH ST",
            "city": "WRAY",
            "state": "CO",
            "postal_code": "807581420",
            "telephone_number": "970-332-4895",
            "fax_number": "970-332-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 W 7TH ST",
            "city": "WRAY",
            "state": "CO",
            "postal_code": "807581420",
            "telephone_number": "970-332-4895",
            "fax_number": "970-332-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAREPOO",
        "first_name": "KHASHAIAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "39194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79085814",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cedardale Health Care Centre, Inc.
• Centennial Mental Health Center
• Centennial Mental Health Center, Inc.
• Centennial Mental Health Center, Inc.
• Center for Healing Trauma and Attachment, Inc.
• Faith Kelley Chenoweth
• Venessa Christina, CRNA
• City of Wray
• Gregory Collins, PT, DPT
• Maria Helena Conrad, M.A.

• Urology Physician in Wray, CO
• Providers in Wray, CO by specialty
• Urology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.