Individual provider Active NPI

Beltecezar Cruz Gorospe, PA

  • Physician Assistant
  • Buckley Afb, CO
National Provider Identifier
1821161209
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1049956
Practice address
275 S Aspen St Stop 89
Buckley Afb, CO 80011-9562
Phone
(720) 847-7473
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1049956 Primary

Addresses

Primary practice location

275 S Aspen St Stop 89
Buckley Afb, CO 80011-9562

Mailing address

275 S Aspen St Stop 89
Buckley Afb, CO 80011-9562
Phone (207) 847-7473

Other identifiers 1

IdentifierTypeStateIssuer
1049956OtherNCCPA CERTIFICATE NUMBER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170706000706 CO Practitioner - Physician Assistant 2163791203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pahs Onpoint Urgent Care LLCGroup PAC ID 3476888363, 36 clinicians

Practice addresses (Care Compare)

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016-1387
Phone (303) 341-4411

Merit-based Incentive Payment System (MIPS)

Final score
68.22 of 100Reported as group
Quality
57.29
Improvement activities
40
Cost
72.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pahs Onpoint Urgent Care LLC CurrentSince Jul 1, 2019 Accepting new patients
Pahs Onpoint Urgent Care LLC Current Accepting new patients

Locations

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016
Phone (303) 330-0410

1151 Aloha St
Ste 200
Castle Rock, CO 80108
Phone (303) 357-2559

10120 E Dry Creek Rd
Ste 101
Englewood, CO 80112
Phone (303) 330-0410

9205 S Broadway
Highlands Ranch, CO 80129
Phone (303) 330-0271

9695 S Yosemite St
Ste 150
Lone Tree, CO 80124
Phone (303) 317-4878

Interoperability endpoints

  • Direct secure messaging: beltecezar.gorospe.4@9821.direct.athenahealth.com
  • Direct secure messaging: beltecezar.gorospe.3@9821.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1821161209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S ASPEN ST STOP 89",
            "city": "BUCKLEY AFB",
            "state": "CO",
            "postal_code": "800119562",
            "telephone_number": "207-847-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S ASPEN ST STOP 89",
            "city": "BUCKLEY AFB",
            "state": "CO",
            "postal_code": "800119562",
            "telephone_number": "720-847-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOROSPE",
        "first_name": "BELTECEZAR",
        "middle_name": "CRUZ",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1049956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATE NUMBER",
            "identifier": "1049956",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckley Afb, CO

Sources for this page

Verify at the official NPI Registry.