Individual provider Active NPI

Masoud Zarezadeh Mehrizi

  • Internal Medicine Physician
  • Aurora, CO
National Provider Identifier
1720311194
Registry record updated Feb 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0055127 Issued in CO
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

Updated by the provider on Feb 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0055127COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Aug 15, 2015 Accepting new patients
Portercare Adventist Health System CurrentSince Aug 15, 2015 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.

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

Verify at the official NPI Registry.