Active NPI
Michelle Homyak, M.D.
- Anesthesiology Physician
- Aurora, CO
National Provider Identifier
1861738353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- CDRH.0040124
- Practice address
- 12605 E 16TH Ave
Aurora, CO 80045-2545 - Phone
- (720) 848-0000
- NPI assigned
- Jan 2, 2013
- Last updated
- Jan 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | CDRH.0040124 | CO | Primary |
Addresses
Primary practice location
12605 E 16TH Ave
Aurora, CO 80045-2545
Mailing address
PO Box 460752
Aurora, CO 80046-0752
Phone (303) 579-8368
Other practice location 1
9500 Roosevelt Way NE
Seattle, WA 98115-2252
Phone (206) 853-7830
Other practice location 2
18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone (818) 700-5636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman Emergency Physicians Medical Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Inglewood, CA
- NPI 1912000936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1861738353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 460752",
"city": "AURORA",
"state": "CO",
"postal_code": "800460752",
"telephone_number": "303-579-8368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12605 E 16TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452545",
"telephone_number": "720-848-0000"
}
],
"practiceLocations": [
{
"address_1": "9500 Roosevelt Way NE",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981152252",
"country_code": "US",
"telephone_number": "206-853-7830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18300 Roscoe Blvd",
"address_purpose": "LOCATION",
"city": "Northridge",
"state": "CA",
"postal_code": "913254105",
"country_code": "US",
"telephone_number": "818-700-5636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOMYAK",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-02",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "CDRH.0040124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.