Daniel Lee Shadrick, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC006053 Issued in PA

Practice address

11900 Grant St Ste 220
Northglenn, CO 80233-1117

Phone

(303) 673-1420

Fax

(303) 452-4398

NPI assigned

Aug 23, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Platte Valley Medical Group LLCGroup PAC ID 5890054100, 120 clinicians

Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116
• Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083
  Medicare reassignment Care Compare group NPD
• Platte Valley Medical Group, LLC

  • Family Medicine Physician
  • Brighton, CO
  • NPI 1922812593
  Medicare reassignment Care Compare group NPD
• Intermountain Medical Group Denver, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Intermountain Medical Group Denver, LLC

  • Maternal & Fetal Medicine Physician
  • Wheat Ridge, CO
  • NPI 1477170421
  NPD
• Platte Valley Medical Group, LLC

  • Emergency Medicine Physician
  • Fort Lupton, CO
  • NPI 1073139648
  NPD

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

• Brighton Community Hospital Association

  • General Acute Care Hospital
  • Brighton, CO
  • NPI 1629071758
  Care Compare affiliation
• Good Samaritan Medical Center, LLC

  • General Acute Care Hospital
  • Lafayette, CO
  • NPI 1407845035
  Care Compare affiliation

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1780990259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 GRANT ST STE 220",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331117",
            "telephone_number": "303-673-1420",
            "fax_number": "303-452-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 GRANT ST STE 220",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331117",
            "telephone_number": "303-673-1420",
            "fax_number": "303-452-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADRICK",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-23",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Seifert
• Select Physical Therapy of West Denver Limited Partnership
• Sensible Choices Counseling, LLC
• Vanessa Serrano
• Rachel Lynn Severson, PT
• Marzieh Shafie, DMD
• Melissa Shanley
• Alexis Sharp
• Rebekah Ella Rose Shelton
• Amy Shenk, LPCC

• Foot & Ankle Surgery Podiatrist in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.