Individual provider Active NPI

Cory David Farquhar Portnuff, AU.D., PH.D.

  • Audiologist
  • Aurora, CO
National Provider Identifier
1699913053
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
547 Issued in CO
Practice address
1635 Aurora CT # 6200
Aurora, CO 80045-2541
Phone
(720) 848-2800
NPI assigned
Jan 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 547 CO Primary

Addresses

Primary practice location

1635 Aurora CT # 6200
Aurora, CO 80045-2541

Mailing address

1555 Olive St
Denver, CO 80220-1821
Phone (720) 848-7218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091229000636 CO Practitioner - Qualified Audiologist 8820138688 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
547COMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Colorado Hospital Authority CurrentSince Oct 25, 2023 Accepting new patients
University of Colorado Hospital Authority CurrentSince Oct 25, 2023 Accepting new patients

Locations

1635 Aurora Ct
#6200
Aurora, CO 80045
Phone (720) 848-2800

1635 Aurora Ct
Fl 6
Aurora, CO 80045
Phone (720) 848-2650

7901 E Lowry Blvd
Ste 3
Denver, CO 80230

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

7403 Church Ranch Blvd
Westminster, CO 80021
Phone (720) 848-9400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1699913053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 OLIVE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201821",
            "telephone_number": "720-848-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 AURORA CT # 6200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452541",
            "telephone_number": "720-848-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNUFF",
        "first_name": "CORY",
        "middle_name": "DAVID FARQUHAR",
        "name_prefix": "Dr.",
        "credential": "AU.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-22",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.