Destiny Urgent Cares of Colorado LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

DESTINY URGENT CARES OF COLORADO LLC

Practice address

17200 E Iliff Ave Ste A7
Aurora, CO 80013-5804

Phone

(720) 477-4024

Fax

(720) 324-4778

NPI assigned

Jul 3, 2023

Last updated

Aug 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Romano N Abuaba, MDNPI 1295014710

Title

Owner

Phone

(720) 253-8473

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Romano Nteela Abuaba, MD

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1295014710
  Medicare reassignment Care Compare group NPD Authorized official
• Mercy Nthinga Abuaba, NP-C

  • Primary Care Nurse Practitioner
  • Aurora, CO
  • NPI 1336687524
  Medicare reassignment Care Compare group NPD
• Joseph Silber, PA

  • Physician Assistant
  • Aurora, CO
  • NPI 1477443240
  Medicare reassignment Care Compare group
• Cassondra McQueen, FNP-C

  • Nurse Practitioner
  • Northglenn, CO
  • NPI 1134870942
  Medicare reassignment NPD
• Sydnee Rae Koneczny, PA-C

  • Physician Assistant
  • Brighton, CO
  • NPI 1205694700
  Medicare reassignment
• Evan Thomas Stout

  • Physician Assistant
  • Golden, CO
  • NPI 1639954142
  Medicare reassignment

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1699452516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 S EATON PARK CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800164293",
            "telephone_number": "720-253-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 E ILIFF AVE STE A7",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800135804",
            "telephone_number": "720-477-4024",
            "fax_number": "720-324-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY URGENT CARES OF COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "ABUABA",
        "authorized_official_first_name": "ROMANO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-253-8473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Care LLC (Destiny Care)
• Destiny Home Care LLC
• Destiny Internal Medicine PC
• Destiny Medical Supply, Inc.
• Destiny Post Acute Care Services P.C
• Robin Deterding, MD
• Tonya Dettlinger
• Lisa Dettmer, CRNA
• Dawn Devan-Bertrand
• Kalpana Devaraj, M.D., M.H.S.

• Urgent Care Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Urgent Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.