NPIMap

Individual provider Active NPI

Charles Ernest Fuenzalida, MD

  • Cardiovascular Disease Physician
  • Aurora, CO
National Provider Identifier
1730175688
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25164 Issued in CO
Practice address
1444 S Potomac St
Suite 300
Aurora, CO 80012-4508
Phone
(303) 750-0822
Fax
(303) 750-1298
NPI assigned
Sep 26, 2005
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25164 CO Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X 25164 CO

Addresses

Primary practice location

1444 S Potomac St
Suite 300
Aurora, CO 80012-4508

Mailing address

4900 S Monaco St
Suite 210
Denver, CO 80237-3486
Phone (303) 750-0822

Other identifiers 12

IdentifierTypeStateIssuer
271395YN6LOtherCOMEDICARE
1982948089MedicaidNE
100171260CMedicaidKS
10026281000MedicaidNE
10026280700MedicaidNE
10026280800MedicaidNE
10026281200MedicaidNE
10026283100MedicaidNE
1730175688MedicaidWY
01251644MedicaidCO
10026280600MedicaidNE
35476273MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHARLES.FUENZALIDA@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040413000763 CO Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8921911900 Reassigns benefits to 1 organization
I20190528001340 KS Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8921911900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Heart Care LLCGroup PAC ID 9436394467, 48 clinicians

Practice addresses (Care Compare)

10103 Ridgegate Pkwy
Suite 103
Lone Tree, CO 80124-5524
Phone (303) 645-0090

2610 N Woodlawn Blvd
Wesley Woodlawn Hospital and ER
Wichita, KS 67220-2729
Phone (316) 962-2000

550 N Hillside St
Wesley Medical Center
Wichita, KS 67214-4910
Phone (316) 962-2025

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.92 of 100Reported as individual
Quality
81.38
Promoting interoperability
98
Improvement activities
40
Cost
77.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25164COMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Denver Cardiology Associates PC Cardiovascular Disease Current Accepting new patients
Healthone Heart Care LLC Cardiovascular Disease CurrentSince Feb 15, 2013 Accepting new patients
Rose Interpretation Group Cardiovascular Disease Past Accepting new patients
Western Cardiology Associates Cardiovascular Disease Past Accepting new patients
Healthone Heart Care LLC Cardiovascular Disease PastSince Sep 27, 2020 Accepting new patients

Locations

1421 S Potomac St
Ste 40
Aurora, CO 80012
Phone (303) 298-1802

1444 S Potomac St
#30
Aurora, CO 80012
Phone (303) 750-0822

14100 E Arapahoe Rd
Ste 130
Centennial, CO 80112
Phone (303) 241-5751

1444 S Potomac St
Ste 300
Denver, CO 80012
Phone (303) 750-0822

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

4900 S Monaco St
Ste 210
Denver, CO 80237

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

10103 Ridgegate Pkwy
Ste 103
Lone Tree, CO 80124
Phone (303) 645-0090

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

9397 Crown Crest Blvd
Parker, CO 80138
Phone (303) 840-1135

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

900 Lincoln Ave
Grant, NE 69140
Phone (308) 352-7200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: charles.fuenzalida.2@980.direct.athenahealth.com
  • Direct secure messaging: charles.fuenzalida@hca3.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/980/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1730175688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-750-0822",
            "fax_number": "303-750-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S POTOMAC ST",
            "address_2": "SUITE 300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124508",
            "telephone_number": "303-750-0822",
            "fax_number": "303-750-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENZALIDA",
        "first_name": "CHARLES",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "25164",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CO",
            "license": "25164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "271395YN6L",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982948089",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100171260C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026281000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026280700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026280800",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026281200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026283100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730175688",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01251644",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026280600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35476273",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHARLES.FUENZALIDA@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1444 S Potomac St",
            "address_2": "SUITE 300",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800124508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.