Active NPI
JB Fenix, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- CDR.0003075
- Practice address
- 1719 E 19TH Ave
Denver, CO 80218-1235 - Phone
- (720) 754-6000
- NPI assigned
- Jun 7, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | CDR.0003075 | CO | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 17180 | NV | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | CDR.0003075 | CO | Primary |
Addresses
Primary practice location
1719 E 19TH Ave
Denver, CO 80218-1235
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-1234
Other practice location 2
777 Bannock St
Denver, CO 80204-4597
Phone (303) 436-4949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, OK, CO, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of California, Irvine, California College of Medicine, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Philadelphia, PA 19178
PO Box
Philadelphia, PA 19178-7642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17180 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| University Physicians Incorporated | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| University Physicians Incorporated | Family Medicine | Current | Accepting new patients |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| University Physicians, Incorporated | Current | Accepting new patients | |
| Children'S Hospital Colorado | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| HCA Healthone LLC | Past | Accepting new patients | |
| Wesley Medical Center LLC | Past | Accepting new patients |
Locations
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
777 Bannock St
Denver, CO 80204
Dept 1061
Denver, CO 80256
1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850
1 Childrens Plz
#2W
Dayton, OH 45404
Phone (513) 872-6000
Interoperability endpoints
- jfenix293068@direct.dhha.org
- jfenix293247@direct.childrenscolorado.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 and National Provider Directory roles.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
Family Medicine
-
- Plastic and Reconstructive Surgery Physician
- Dayton, OH
- NPI 1568809358
-
- Neonatal-Perinatal Medicine Physician
- Las Vegas, NV
- NPI 1992809412
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- Physical Medicine & Rehabilitation Physician
- Denver, CO
- NPI 1265689053
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- General Acute Care Hospital
- Denver, CO
- NPI 1720038946
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1922392877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1719 E 19TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802181235",
"telephone_number": "720-754-6000"
}
],
"practiceLocations": [
{
"address_1": "13123 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457106",
"country_code": "US",
"telephone_number": "720-777-1234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "777 Bannock St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802044597",
"country_code": "US",
"telephone_number": "303-436-4949",
"fax_number": "303-602-9159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FENIX",
"first_name": "JB",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-07",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CO",
"license": "CDR.0003075",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NV",
"license": "17180",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "CO",
"license": "CDR.0003075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.