Individual provider Active NPI

Crea Fusco, MD

  • Surgery Physician
  • Littleton, CO
National Provider Identifier
1720234479
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
49189 Issued in CO
Practice address
7780 S Broadway
Ste 250
Littleton, CO 80122-2648
Phone
(303) 795-3375
Fax
(303) 795-0621
NPI assigned
Aug 13, 2008
Last updated
Dec 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036118829 IL
Surgery Physician 208600000X 49189 CO Primary

Addresses

Primary practice location

7780 S Broadway
Ste 250
Littleton, CO 80122-2648

Mailing address

7780 S Broadway
Ste 250
Littleton, CO 80122-2648
Phone (303) 795-3375

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
I20101118000507 CO Practitioner - General Surgery 2769678622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rush Medical College of Rush University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Emergency Surgeons PCGroup PAC ID 6709213168, 9 clinicians
Premier Surgeons PCGroup PAC ID 3678905098, 5 clinicians

Practice addresses (Care Compare)

7700 S Broadway
Littleton, CO 80122-2602
Phone (303) 795-3375

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)17
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49189COMDSurgery Physician
036118829ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Emergency Surgeons PC Surgery CurrentSince Jan 1, 2020 Accepting new patients
Premier Surgeons PC Surgery CurrentSince Oct 18, 2019 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

7780 S Broadway
Ste 250
Littleton, CO 80122
Phone (303) 795-3375

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1720234479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY",
            "address_2": "STE 250",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222648",
            "telephone_number": "303-795-3375",
            "fax_number": "303-795-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY",
            "address_2": "STE 250",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222648",
            "telephone_number": "303-795-3375",
            "fax_number": "303-795-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSCO",
        "first_name": "CREA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036118829",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "49189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.