Active NPI
David Faktorovich
- Anesthesiology Physician
- Greenwood Village, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DR.0063520
- Practice address
- 8000 E Maplewood Ave
Greenwood Village, CO 80111-4766 - Phone
- (303) 785-4700
- Fax
- (303) 336-8350
- NPI assigned
- Mar 28, 2016
- Last updated
- Aug 5, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Anesthesiology Physician | 207L00000X | DR.0063520 | CO | Primary |
Addresses
Primary practice location
8000 E Maplewood Ave
Greenwood Village, CO 80111-4766
Mailing address
991 W Rue de la Banque Apt L
Creve Coeur, MO 63141-5110
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1390 Dry Creek Dr
Suite B
Longmont, CO 80503-6505
Phone (303) 805-7477
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diehl Anesthesia Inc | Anesthesiology | Current | Accepting new patients |
| Anesthesia Consulting Partners, PLLC | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of Colorado Inc. | Anesthesiology | Current | Accepting new patients |
Locations
8000 E Maplewood Ave
Ste 200
Greenwood Village, CO 80111
Phone (303) 785-4700
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
1390 Dry Creek Dr
Ste B
Longmont, CO 80503
Phone (303) 805-7477
9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000
9191 Grant St
Thornton, CO 80229
Phone (303) 246-5003
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.
-
dba Complete Care Anesthesia
- Anesthesiology Physician
- Sedalia, CO
- NPI 1467833897
-
- Anesthesiology Physician
- Thornton, CO
- NPI 1891408050
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1861854861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "991 W RUE DE LA BANQUE APT L",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631415110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 E MAPLEWOOD AVE",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801114766",
"telephone_number": "303-785-4700",
"fax_number": "303-336-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKTOROVICH",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-28",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "DR.0063520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.