Individual provider Active NPI

Edan Sarid, M.D.

  • Allergy & Immunology Physician
  • Centennial, CO
National Provider Identifier
1700107208
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
54090 Issued in CO
Practice address
6801 S Yosemite St
Centennial, CO 80112-1406
Phone
(303) 224-4669
NPI assigned
Jun 18, 2010
Last updated
Mar 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 54090 CO Primary
Pediatrics Physician 208000000X 6875663 NY

Addresses

Primary practice location

6801 S Yosemite St
Centennial, CO 80112-1406

Mailing address

6801 S Yosemite St
Centennial, CO 80112-1406
Phone (303) 773-9000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141111000263 CO Practitioner - Pediatric MedicinePractitioner - Allergy/Immunology 6204083132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Allergy/Immunology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Veros Clinical Services LLCGroup PAC ID 1254712359, 14 clinicians

Practice addresses (Care Compare)

6801 S Yosemite St
Centennial, CO 80112-1406
Phone (303) 773-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54090COMDAllergy & Immunology Physician
6875663NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Veros Clinical Services LLC CurrentSince Jul 1, 2022 Accepting new patients
Veros Clinical Services LLC Current Accepting new patients
Veros Clinical Services LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

6801 S Yosemite St
Centennial, CO 80112
Phone (303) 224-4703

18620 Grn Vly Ranch Blvd
Ste 101
Denver, CO 80249
Phone (720) 489-1111

Interoperability endpoints

  • Direct secure messaging: edan.sarid@immunoe.directbygreenway.com
  • Direct secure messaging: esarid@veroshealth.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73776

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1700107208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 S YOSEMITE ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121406",
            "telephone_number": "303-773-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 S YOSEMITE ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121406",
            "telephone_number": "303-224-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARID",
        "first_name": "EDAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "54090",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "6875663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.