NPIMap

Individual provider Active NPI

Efren Suizo Caballes, D.O.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Westminster, CO
National Provider Identifier
1760770879
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
57308 Issued in CO
Practice address
500 W 144TH Ave Ste 230
Westminster, CO 80023-9328
Phone
(303) 665-2603
Fax
(303) 665-2605
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 57308 CO Primary

Addresses

Primary practice location

500 W 144TH Ave Ste 230
Westminster, CO 80023-9328

Mailing address

3455 Lutheran Pkwy Ste 105
Wheat Ridge, CO 80033-6028
Phone (303) 665-2603

Other practice location 1

3455 Lutheran Pkwy Ste 105
Wheat Ridge, CO 80033-6028
Phone (303) 456-6000 ext. 223

Other practice location 2

80 Health Park Dr
Suite 230
Louisville, CO 80027-9584
Phone (303) 665-2603 ext. 223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161112000259 CO Practitioner - Sports MedicinePractitioner - Pain Management 8527347616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Pain Management
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Centers of Colorado LLCGroup PAC ID 2365714540, 327 clinicians

Practice addresses (Care Compare)

3 Superior Dr
Suite 225
Superior, CO 80027-8661
Phone (303) 665-2603

Merit-based Incentive Payment System (MIPS)

Final score
43.24 of 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC CurrentSince Nov 1, 2019 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Nov 1, 2019 Accepting new patients
Cornerstone Orthopedics Surgery and Sports Medicine, P.C. PastSince Sep 27, 2016 Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

3 Superior Dr
Ste 225
Superior, CO 80027
Phone 3036652603106

500 W 144th Ave
Ste 230
Westminster, CO 80023
Phone 3036652603 ext. 223

3455 Lutheran Pkwy
Ste 105
Wheat Ridge, CO 80033
Phone (303) 456-6000

Interoperability endpoints

  • Direct secure messaging: efrencaballes@occllc.allscriptsdirect.net

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760770879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 LUTHERAN PKWY STE 105",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336028",
            "telephone_number": "303-665-2603",
            "fax_number": "303-665-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 144TH AVE STE 230",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239328",
            "telephone_number": "303-665-2603",
            "fax_number": "303-665-2605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Lutheran Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800336028",
            "country_code": "US",
            "telephone_number": "303-456-6000 x223",
            "fax_number": "303-420-2279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Health Park Dr",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800279584",
            "country_code": "US",
            "telephone_number": "303-665-2603 x223",
            "fax_number": "303-665-2605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALLES",
        "first_name": "EFREN",
        "middle_name": "SUIZO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CO",
            "license": "57308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.