Individual provider Active NPI

Marshall R Gottesfeld, MD

  • Obstetrics & Gynecology Physician
  • Denver, CO
National Provider Identifier
1902984024
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
32176 Issued in CO
Practice address
1960 Ogden St Ste 340
Denver, CO 80218-3669
Phone
(303) 318-3830
Fax
(303) 318-3825
NPI assigned
Nov 2, 2006
Last updated
Feb 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 32176 CO Primary

Addresses

Primary practice location

1960 Ogden St Ste 340
Denver, CO 80218-3669

Mailing address

500 Eldorado Blvd
Suite 6250
Broomfield, CO 80021-3408
Phone (303) 272-0751

Other identifiers 1

IdentifierTypeStateIssuer
01021765MedicaidCO

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
I20061205000171 CO Practitioner - Obstetrics/Gynecology 0749289536 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32176COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Obstetrics & Gynecology Current Accepting new patients
Intermountain Front Range, Inc. Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2014 Accepting new patients
Saint Joseph Hospital, Inc Obstetrics & Gynecology Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2014 Accepting new patients
Saint Joseph Hospital, Inc CurrentSince Dec 27, 2006 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Aug 9, 2010 Accepting new patients
Uptown Community Health Center Inc Current Accepting new patients
Intermountain Front Range, Inc. CurrentSince Aug 9, 2010 Accepting new patients
Uptown Community Health Center Inc Obstetrics & Gynecology CurrentSince Nov 15, 2022 Accepting new patients
Uptown Community Health Center Inc CurrentSince Nov 15, 2022 Accepting new patients

Locations

500 Eldorado Blvd
Ste 6250
Broomfield, CO 80021
Phone (303) 272-0750

500 Eldorado Blvd
Ste 6300
Broomfield, CO 80021
Phone (303) 272-0803

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

1960 N Ogden St
Ste 340
Denver, CO 80218
Phone (303) 318-3816

1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500

3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000

Interoperability endpoints

  • Direct secure messaging: mgottesfeld4088@direct.intermountainhealth.org

Organizations & group practices 11

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1902984024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ELDORADO BLVD",
            "address_2": "SUITE 6250",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213408",
            "telephone_number": "303-272-0751",
            "fax_number": "303-318-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 OGDEN ST STE 340",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183669",
            "telephone_number": "303-318-3830",
            "fax_number": "303-318-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTESFELD",
        "first_name": "MARSHALL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "32176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01021765",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.