Active NPI
Alyssa D Pensirikul, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- DR.0070057
- Practice address
- DH Dept of Pediatric
777 Bannock Street
Denver, CO 80204 - Phone
- (303) 602-3300
- NPI assigned
- Jun 10, 2009
- Last updated
- Nov 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | ME120819 | FL | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 2023-02881 | NC | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | DR.0070057 | CO | Primary |
Addresses
Primary practice location
DH Dept of Pediatric
777 Bannock Street
Denver, CO 80204
Mailing address
1615 Country Club Prado
Coral Gables, FL 33134-2188
Other practice location 1
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000
Other practice location 2
1150 NW 14th St
Miami, FL 33136-2137
Phone (305) 243-2421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NE, CO, SD, NC, MT, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| Wakemed | Current | Accepting new patients | |
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Mercy Medical Center-Dubuque | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Wakemed | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Current | Accepting new patients | |
| Mercy Medical Center-Dubuque | Current | Accepting new patients |
Locations
777 Bannock St
Denver, CO 80204
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1150 NW 14th St
Miami, FL 33136
Phone (305) 243-6165
1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000
120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
677 Cathedral Dr
Ste 200
Rapid City, SD 57701
Phone (605) 343-9224
Interoperability endpoints
- apensirikul296068@direct.dhha.org
Organizations & group practices 12
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 WakeMed Professional Physicians Staff
- Internal Medicine Physician
- Raleigh, NC
- NPI 1194907717
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
dba MercyOne Dubuque Medical Center
- General Acute Care Hospital
- Dubuque, IA
- NPI 1659348506
-
dba Monument Health Behavioral Health Center
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
-
- Neurology Physician
- Colorado Springs, CO
- NPI 1134307531
IA, MT, SD
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- Psychiatric Hospital Unit
- Dubuque, IA
- NPI 1851326920
-
dba Monument Health Rapid Valley Clinic
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1215727854
-
dba Monument Health Rapid City Clinic, Flormann Street
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1821477746
-
dba UMiami Medicine Multi Specialty Services
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
dba WakeMed Mental Health & Well-Being Hospital WakeBrook
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1912133539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 COUNTRY CLUB PRADO",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DH DEPT OF PEDIATRIC",
"address_2": "777 BANNOCK STREET",
"city": "DENVER",
"state": "CO",
"postal_code": "80204",
"telephone_number": "303-602-3300"
}
],
"practiceLocations": [
{
"address_1": "3000 New Bern Ave",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276101231",
"country_code": "US",
"telephone_number": "919-350-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1150 NW 14th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331362137",
"country_code": "US",
"telephone_number": "305-243-2421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENSIRIKUL",
"first_name": "ALYSSA",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "FL",
"license": "ME120819",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NC",
"license": "2023-02881",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "CO",
"license": "DR.0070057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
- Pennsylvania Kidney Care, P.C.
- Malissa Penny-Forsyth, N.P.
- Lara Penny, MD
- Elena Pensa, SWC
- Robert Jon Pensack, M.D.
- Laura J. Pentoney, M.A., LPC
- Lori Penwell
- Peoplecare of Eastern Colorado (PeopleCare Health Services)
- Peoplecare of Eastern Colorado, LLC (PeopleCare Health Services)
- Peoplefirst Homecare of Colorado, LLC (Kindred at Home-Personal Home Care Assistance-Denver)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.