Individual provider Active NPI

Yury Gadayev, P.A. - C

  • Physician Assistant
  • Englewood, CO
National Provider Identifier
1841371796
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2323 Issued in CO
Practice address
13111 E Briarwood Ave
200
Englewood, CO 80112-3930
Phone
(303) 493-1922
Fax
(303) 493-1926
NPI assigned
Oct 18, 2006
Last updated
Nov 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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 2323 CO Primary

Addresses

Primary practice location

13111 E Briarwood Ave
200
Englewood, CO 80112-3930

Mailing address

13111 E Briarwood Ave
#200
Centennial, CO 80112-3930
Phone (303) 493-1922

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
I20070305000769 CO Practitioner - Physician Assistant 6507969938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Veros Clinical Services LLCGroup PAC ID 1254712359, 14 clinicians

Practice addresses (Care Compare)

6801 S Yosemite St
Centennial, CO 80112-1406
Phone (303) 773-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2323COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Veros Clinical Services LLC CurrentSince Sep 1, 2023 Accepting new patients
Veros Clinical Services LLC CurrentSince Sep 1, 2023 Accepting new patients
Veros Clinical Services LLC Past Accepting new patients

Locations

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

6801 S Yosemite St
Centennial, CO 80112
Phone (303) 224-4703

3240 E 104th Ave
Thornton, CO 80233
Phone (303) 224-4700

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73776
  • Direct secure messaging: ygadayev@veroshealth.directbygreenway.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1841371796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 E BRIARWOOD AVE",
            "address_2": "#200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123930",
            "telephone_number": "303-493-1922",
            "fax_number": "303-493-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 E BRIARWOOD AVE",
            "address_2": "200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123930",
            "telephone_number": "303-493-1922",
            "fax_number": "303-493-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADAYEV",
        "first_name": "YURY",
        "credential": "P.A. - C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.