Individual provider Active NPI

Charles A Shuman, MD

  • Psychiatry Physician
  • Denver, CO
National Provider Identifier
1831170182
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
45634 Issued in CO
Practice address
777 Bannock St
Unit 9
Denver, CO 80204-4507
Phone
(303) 436-7777
Fax
(303) 436-5184
NPI assigned
Nov 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 45634 CO Primary
Addiction Psychiatry Physician 2084P0802X 45634 CO

Addresses

Primary practice location

777 Bannock St
Unit 9
Denver, CO 80204-4507

Mailing address

777 Bannock St
Unit 9
Denver, CO 80204-4507
Phone (303) 436-7777

Other identifiers 2

IdentifierTypeStateIssuer
891368EMedicaidNC
1368EOtherNCBCBS NC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090923000051 CO Practitioner - Psychiatry 3274507025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Temple University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile High Psychiatry LLCGroup PAC ID 9032459656, 33 clinicians
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

2675 S Abilene St
Suite 100
Aurora, CO 80014-2363
Phone (720) 507-4779

4801 Riverbend Rd
Suite 120a
Boulder, CO 80301-2613
Phone (303) 415-4299

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45634COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Jan 4, 2016 Accepting new patients
Mile High Psychiatry, LLC CurrentSince Apr 23, 2025 Accepting new patients
Boulder Community Health CurrentSince Sep 1, 2024 Accepting new patients
Boulder Community Health Psychiatry CurrentSince Sep 1, 2024 Accepting new patients
Boulder Community Health Current Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Mile High Psychiatry LLC CurrentSince Apr 23, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Jan 4, 2016 Accepting new patients
Mindpath Care Centers, North Carolina, PLLC Psychiatry PastSince Oct 7, 2020 Accepting new patients
Greenville Psychiatric Associates, PA Past Accepting new patients
Mile High Psychiatry LLC Past Accepting new patients

Locations

2675 S Abilene St
Ste 100
Aurora, CO 80014

14221 E 4th Ave
Ste 2126
Aurora, CO 80011
Phone (720) 262-7502

4801 Riverbend Rd
Ste 300
Boulder, CO 80301
Phone (303) 415-8621

4801 Riverbend Rd
Ste 120A
Boulder, CO 80301
Phone (303) 415-4299

2465 S Downing St
Ste 110
Denver, CO 80210
Phone (303) 778-1955

Organizations & group practices 11

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": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1831170182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "address_2": "UNIT 9",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-436-7777",
            "fax_number": "303-436-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "address_2": "UNIT 9",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-436-7777",
            "fax_number": "303-436-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAN",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "45634",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CO",
            "license": "45634",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891368E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "1368E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.