Individual provider Active NPI

Pamela Valenza, M.D.

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1760771083
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09549800 Issued in NJ
Practice address
5075 Lincoln St
Denver, CO 80216
Phone
(720) 274-2923
Fax
(303) 433-7452
NPI assigned
Apr 7, 2011
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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
Family Medicine Physician 207Q00000X 25MA09549800 NJ Primary

Addresses

Primary practice location

5075 Lincoln St
Denver, CO 80216

Mailing address

5075 Lincoln St
Denver, CO 80216-2015
Phone (720) 274-2940

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
I20180313001099 CO Practitioner - Family Practice 9032339858 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09549800NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica Tepeyac, Inc CurrentSince Feb 19, 2018 Accepting new patients
La Clinica Tepeyac, Inc CurrentSince Feb 19, 2018 Accepting new patients
La Clinica Tepeyac, Inc Past Accepting new patients

Locations

2101 E 48th Ave
Denver, CO 80216
Phone (303) 458-5302

4725 High St
Denver, CO 80216
Phone (720) 274-2923

5075 Lincoln St
Denver, CO 80216
Phone (303) 458-5302

Interoperability endpoints

  • Direct secure messaging: pamela.valenza@tepeyac.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
La Clinica Tepeyac, IncDenver, CO, CCN 061047 Federally qualified health center Corporate Director Feb 19, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1760771083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 LINCOLN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802162015",
            "telephone_number": "720-274-2940",
            "fax_number": "303-583-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 LINCOLN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80216",
            "telephone_number": "720-274-2923",
            "fax_number": "303-433-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZA",
        "first_name": "PAMELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09549800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.