Individual provider Active NPI

Amirtha Dileepan, MD

  • General Practice Physician
  • Turtle Creek, PA
National Provider Identifier
1841619293
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD474861 Issued in PA
Practice address
1210 Airbrake Ave
Turtle Creek, PA 15145-1821
Phone
(330) 923-3502
Fax
(330) 928-9761
NPI assigned
Apr 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X MD474861 PA Primary

Addresses

Primary practice location

1210 Airbrake Ave
Turtle Creek, PA 15145-1821

Mailing address

601 E Main St Ste 101
Mahomet, IL 61853-7460
Phone (913) 359-6019

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
I20250602000425 CO Practitioner - General Practice 5193003572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Tennessee, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Community Provider Network IncGroup PAC ID 0648181214, 41 clinicians

Practice addresses (Care Compare)

10680 Del Mar Pkwy
Aurora, CO 80010-4011
Phone (303) 360-6276

15132 E Hampden Ave
Aurora, CO 80014-5038
Phone (303) 360-6276

3515 S Delaware St
Englewood, CO 80110-3529
Phone (303) 360-6276

7495 W 29TH Ave
Wheat Ridge, CO 80033-8002
Phone (303) 360-6276

9801 E Colfax Ave
Suite 120
Aurora, CO 80010-2155
Phone (303) 360-6276

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD474861PAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Provider Network, Inc. CurrentSince Feb 21, 2025 Accepting new patients
Metro Community Provider Network Inc Current Accepting new patients
Metro Community Provider Network, Inc. CurrentSince Feb 21, 2025 Accepting new patients
MBS Envision LLC CurrentSince Sep 5, 2021 Accepting new patients
Metro Community Provider Network Inc Past Accepting new patients

Locations

2255 S Oneida St
Denver, CO 80224

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

7495 W 29th Ave
Wheat Ridge, CO 80033
Phone (303) 239-9964

601 E Main St
Ste 101
Mahomet, IL 61853
Phone (913) 359-6001

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1841619293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST STE 101",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618537460",
            "telephone_number": "913-359-6019",
            "fax_number": "913-359-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 AIRBRAKE AVE",
            "city": "TURTLE CREEK",
            "state": "PA",
            "postal_code": "151451821",
            "telephone_number": "330-923-3502",
            "fax_number": "330-928-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILEEPAN",
        "first_name": "AMIRTHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD474861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turtle Creek, PA

Sources for this page

Verify at the official NPI Registry.