Individual provider Active NPI

Melissa M Greenfield Serlen, M.D.

  • Pediatrics Physician
  • Louisville, CO
National Provider Identifier
1730164401
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
40608 Issued in CO
Practice address
80 Health Park Dr
Ste 100
Louisville, CO 80027-9584
Phone
(303) 666-2720
Fax
(303) 666-2734
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 40608 CO
Pediatrics Physician 208000000X 40608 CO Primary

Addresses

Primary practice location

80 Health Park Dr
Ste 100
Louisville, CO 80027-9584

Mailing address

80 Health Park Dr
Ste 100
Louisville, CO 80027-9584
Phone (303) 666-2720

Other identifiers 1

IdentifierTypeStateIssuer
89834267MedicaidCO

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
I20111017000761 CO Practitioner - Pediatric Medicine 3779755756 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40608COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Medical Center, P.C. CurrentSince Aug 29, 2011 Accepting new patients
Boulder Medical Center, P.C. Current Accepting new patients
Boulder Medical Center, P.C. CurrentSince Aug 29, 2011 Accepting new patients
Boulder Medical Center, P.C. Past Accepting new patients
Carepoint P.C. Emergency Medicine Past Accepting new patients
Medical Center Pharmacy Inc Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

2750 Broadway St
Boulder, CO 80304
Phone (303) 440-3000

89 S Briggs St
Ste 105
Erie, CO 80516
Phone (303) 673-0448

80 Health Park Dr
Ste 100
Louisville, CO 80027
Phone (303) 665-1045

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

Organizations & group practices 7

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1730164401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HEALTH PARK DR",
            "address_2": "STE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279584",
            "telephone_number": "303-666-2720",
            "fax_number": "303-666-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HEALTH PARK DR",
            "address_2": "STE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279584",
            "telephone_number": "303-666-2720",
            "fax_number": "303-666-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD SERLEN",
        "first_name": "MELISSA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "40608",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "40608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89834267",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.