Active NPI
Mayuri P. Gothe, M.D.
- Pediatric Emergency Medicine (Pediatrics) Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- DR.0070088
- Practice address
- 777 Bannock St # Mc3240
Denver, CO 80204-4597 - Phone
- (303) 436-6000
- NPI assigned
- Oct 6, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | DR.0070088 | CO | Primary |
| Pediatrics Physician | 208000000X | 125052457 | IL | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | ME115701 | FL |
Addresses
Primary practice location
777 Bannock St # Mc3240
Denver, CO 80204-4597
Mailing address
601 S Broadway # Mc3240
Denver, CO 80209-4081
Phone (303) 436-6000
Other practice location 1
5955 Ponce De Leon Blvd.
Coral Gables, FL 33146
Phone (512) 363-9126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125052457 | IL | MD | Pediatrics Physician |
| DR.0070088 | CO | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
| ME115701 | FL | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Emergency Pediatric Services, PA | Current | Accepting new patients |
Locations
777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714
777 Bannock St
Denver, CO 80204
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668
Interoperability endpoints
- mgothe279130@direct.dhha.org
Organizations & group practices 3
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.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Pediatric Critical Care Medicine Physician
- Coral Gables, FL
- NPI 1194854034
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1699000844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S BROADWAY # MC3240",
"city": "DENVER",
"state": "CO",
"postal_code": "802094081",
"telephone_number": "303-436-6000",
"fax_number": "305-662-3723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST # MC3240",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597",
"telephone_number": "303-436-6000"
}
],
"practiceLocations": [
{
"address_1": "5955 Ponce De Leon Blvd.",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "33146",
"country_code": "US",
"telephone_number": "512-363-9126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOTHE",
"first_name": "MAYURI",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-06",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "CO",
"license": "DR.0070088",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125052457",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "FL",
"license": "ME115701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.