Active NPI
Masoud Zarezadeh Mehrizi
- Internal Medicine Physician
- Aurora, CO
National Provider Identifier
1720311194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DR.0055127
- Practice address
- 13701 E Mississippi Ave Ste 200
Aurora, CO 80012-3697 - Phone
- (303) 398-6340
- NPI assigned
- Sep 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MD | ||
| Internal Medicine Physician | 207R00000X | DR.0055127 | CO | Primary |
Addresses
Primary practice location
13701 E Mississippi Ave Ste 200
Aurora, CO 80012-3697
Mailing address
14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (303) 643-1159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0055127 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients |
Locations
2535 S Downing St
Denver, CO 80210
Phone (720) 524-1367
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
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.
-
- Cardiovascular Disease Physician
- Denver, CO
- NPI 1316545437
-
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
- Urology Physician
- Lakewood, CO
- NPI 1942165626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580515200000",
"number": "1720311194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14300 ORCHARD PKWY",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800239206",
"telephone_number": "303-643-1159",
"fax_number": "720-874-5886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13701 E MISSISSIPPI AVE STE 200",
"city": "AURORA",
"state": "CO",
"postal_code": "800123697",
"telephone_number": "303-398-6340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAREZADEH MEHRIZI",
"first_name": "MASOUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-16",
"last_updated": "2020-02-01",
"certification_date": "2020-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0055127",
"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 Feb 1, 2020; 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.