Individual provider Active NPI

David Faktorovich

  • Anesthesiology Physician
  • Greenwood Village, CO
National Provider Identifier
1861854861
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DR.0063520 Issued in CO
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200812003636 CO Practitioner - Anesthesiology 1254757826 Reassigns benefits to 3 organizations

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
Diehl Anesthesia IncGroup PAC ID 6800197575, 35 clinicians

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

OrganizationSpecialtyStatusNew patients
Diehl Anesthesia Inc Anesthesiology CurrentSince Mar 5, 2025 Accepting new patients
Anesthesia Consulting Partners, PLLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
US Anesthesia Partners of Colorado Inc. Anesthesiology CurrentSince Jul 30, 2020 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.

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

Verify at the official NPI Registry.