Active NPI
Thiyagarajan Raju Meyappan, MD
- Pediatric Critical Care Medicine Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 49969
- Practice address
- 1719 E 19TH Ave
RMCH - Pediatric Intensive Care Unit - 3Rd Floor
Denver, CO 80218-1235 - Phone
- (720) 754-4300
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | M4879 | TX | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 49969 | CO | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 238275-1 | NY |
Addresses
Primary practice location
1719 E 19TH Ave
RMCH - Pediatric Intensive Care Unit - 3Rd Floor
Denver, CO 80218-1235
Mailing address
1719 E 19TH Ave
RMCH - Pediatric Intensive Care Unit - 3Rd Floor
Denver, CO 80218-1235
Phone (720) 754-4300
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49969 | CO | MD | Pediatric Critical Care Medicine Physician |
| 238275-1 | NY | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrix Medical Group of Colorado P C | Current | Accepting new patients | |
| Obstetrix Medical Group of Colorado P C | Pediatric Critical Care Medicine | Current | Accepting new patients |
| HCA Healthone LLC | Past | Accepting new patients |
Locations
4722 N 24th St
Ste 150
Phoenix, AZ 85016
Phone (602) 256-4628
1719 E 19th Ave
Unit 3RD
Denver, CO 80218
Phone (720) 754-4300
1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000
2055 N High St
Ste 255
Denver, CO 80205
Phone (303) 799-3468
2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009
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.
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Pediatric Critical Care Medicine
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- NPI 1497779276
-
- General Acute Care Hospital
- Denver, CO
- NPI 1720038946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1770661126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 E 19TH AVE",
"address_2": "RMCH - PEDIATRIC INTENSIVE CARE UNIT - 3RD FLOOR",
"city": "DENVER",
"state": "CO",
"postal_code": "802181235",
"telephone_number": "720-754-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1719 E 19TH AVE",
"address_2": "RMCH - PEDIATRIC INTENSIVE CARE UNIT - 3RD FLOOR",
"city": "DENVER",
"state": "CO",
"postal_code": "802181235",
"telephone_number": "720-754-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYAPPAN",
"first_name": "THIYAGARAJAN",
"middle_name": "RAJU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "M4879",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CO",
"license": "49969",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NY",
"license": "238275-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.