Fernando Thadepalli

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DR.0059540 Issued in CO

Practice address

12230 Lioness Way
Parker, CO 80134-5603

Phone

(720) 644-9355

NPI assigned

Dec 30, 2005

Last updated

Sep 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Internal Medicine

Education

University of California, Geffen School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpine Medical Group Colorado PLLCGroup PAC ID 1759743347, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• Alpine Medical Group Colorado PLLC

  dba Colorado Physicians Partners

  • Family Medicine Physician
  • Denver, CO
  • NPI 1104501873

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Agewell Medical Associates, PC

  • Primary Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1144341959
  Medicare reassignment NPD
• Optumcare Colorado Medical Group LLC

  dba Optum Colorado Springs

  • General Practice Physician
  • Colorado Springs, CO
  • NPI 1407252828
  Medicare reassignment NPD
• Optumcare Colorado Medical Group LLC

  dba Colorado Center for Arthritis & Osteoporosis

  • Rheumatology Physician
  • Boulder, CO
  • NPI 1922893478
  NPD

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

• Intermountain Front Range, Inc

  dba Intermountain Health Lutheran Hospital

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1811739923
  Care Compare affiliation
• Intermountain Front Range, Inc.

  dba SCL Health LMC - Cancer Centers of CO: Infusion Center

  • General Acute Care Hospital
  • Golden, CO
  • NPI 1235803917
  Care Compare affiliation
• Intermountain Front Range, Inc.

  dba Lutheran Hospital - Breast Care Center

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1619706249
  Care Compare affiliation
• Intermountain Front Range, Inc.

  dba Intermountain Health Lutheran Hospital

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1669461281
  Care Compare affiliation
• Intermountain Front Range, Inc.

  dba SCL Health LMC Cancer Centers of CO: Medical Oncology

  • General Acute Care Hospital
  • Golden, CO
  • NPI 1891576716
  Care Compare affiliation

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1821075821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12230 LIONESS WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345603",
            "telephone_number": "720-644-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 LIONESS WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345603",
            "telephone_number": "720-644-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THADEPALLI",
        "first_name": "FERNANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "43458",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0059540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000164657",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fernando.thadepalli@direct.imail.org",
            "affiliation": "N",
            "address_1": "577 S River Rd",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847902097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steven John Termath, MA, NCC, LPCC
• Terra Bluffs Ventures Op Co, LP (Terra Bluffs Assisted Living and Memory Care)
• Abby Terry
• TFL Provider Network LLC (The Fitness Lab)
• TFL Provider Network LLC (The Fitness Lab)
• Robin Thall, RN BSN CCM LNCC
• Luke Alan Thayer, PT, DPT
• Nicole Leigh Thayer, DPT
• The Art of Eating, LLC
• The Denver Technology Group, Inc (The Sandal Miller Group)

• Internal Medicine Physician in Parker, CO
• Providers in Parker, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.