NPIMap

Individual provider Active NPI

Richard Jay Drexelius, M.D.

  • Family Medicine Physician
  • Centennial, CO
National Provider Identifier
1780612762
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30924 Issued in CO
Practice address
6909 S Holly Cir Ste 100
Centennial, CO 80112-6300
Phone
(720) 528-3559
Fax
(720) 528-9903
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30924 CO Primary

Addresses

Primary practice location

6909 S Holly Cir Ste 100
Centennial, CO 80112-6300

Mailing address

5434 E Nichols PL
Centennial, CO 80122-3800
Phone (303) 740-8630

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
I20120501000420 CO Practitioner - Family Practice 3577725951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

9137 S Ridgeline Blvd
100 PRHR PC Highlands RCH
Highlands Ranch, CO 80129-2397
Phone (303) 649-3140

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions49
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30924COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Apr 1, 2014 Accepting new patients
Portercare Adventist Health System CurrentSince Apr 1, 2014 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

6909 S Holly Cir
Ste 100
Centennial, CO 80112
Phone (720) 389-8730

9137 Ridgeline Blvd
Ste 100
Highlands Ranch, CO 80129
Phone (303) 330-0271

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Interoperability endpoints

  • Direct secure messaging: rdrexelius2556856@adventhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1780612762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5434 E NICHOLS PL",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223800",
            "telephone_number": "303-740-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 S HOLLY CIR STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126300",
            "telephone_number": "720-528-3559",
            "fax_number": "720-528-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREXELIUS",
        "first_name": "RICHARD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "30924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.