Individual provider Active NPI

Jason Abelardo Cordero, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1881854289
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DR.0053763 Issued in CO
Practice address
920 Stanton L Young Blvd Ste 1140
Oklahoma City, OK 73104-5036
Phone
(405) 271-4700
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 266116-1 NY
Pediatric Anesthesiology Physician 207LP3000X 2013006231 MO
Pediatric Anesthesiology Physician 207LP3000X DR.0053763 CO
Anesthesiology Physician 207L00000X DR.0053763 CO Primary

Addresses

Primary practice location

920 Stanton L Young Blvd Ste 1140
Oklahoma City, OK 73104-5036

Mailing address

1396 Vine St
Denver, CO 80206-2012
Phone (954) 235-8568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141030001283 CO Practitioner - Anesthesiology 4981857984 Reassigns benefits to 1 organization
I20180925003239 IL Practitioner - Anesthesiology 4981857984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Icahn School of Medicine at Mount Sinai, 2008
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 Medicine

State licenses

LicenseStateTypeSpecialty
44748OKMDRegistered Nurse
266116-1NYMDAnesthesiology Physician
2013006231MOMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CGH Medical Center CurrentSince Sep 1, 2018 Accepting new patients
Diehl Anesthesia Inc Anesthesiology CurrentSince Dec 23, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Jan 29, 2025 Accepting new patients
Ou Health Partners, Inc CurrentSince Jan 29, 2025 Accepting new patients
CGH Medical Center CurrentSince Sep 1, 2018 Accepting new patients

Locations

1390 Dry Creek Dr
Ste B
Longmont, CO 80503
Phone (303) 805-7477

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

920 Stanton L Young Blvd
Ste 1140
Oklahoma City, OK 73104

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.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1881854289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 VINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802062012",
            "telephone_number": "954-235-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD STE 1140",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036",
            "telephone_number": "405-271-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "JASON",
        "middle_name": "ABELARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "266116-1",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "MO",
            "license": "2013006231",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CO",
            "license": "DR.0053763",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0053763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.