Individual provider Active NPI

JB Fenix, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Denver, CO
National Provider Identifier
1922392877
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
CDR.0003075 Issued in CO
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

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20171128003167 NV Practitioner - Critical Care (Intensivists) 2769749803 Reassigns benefits to 1 organization
I20240206000644 OK Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 2769749803
I20240514002046 CO Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 2769749803 Reassigns benefits to 2 organizations
I20250926000593 OH Practitioner - Critical Care (Intensivists) 2769749803 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
17180NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Mar 1, 2024 Accepting new patients
University Physicians Incorporated CurrentSince Sep 1, 2024 Accepting new patients
Shriners Hospitals for Children CurrentSince Jul 17, 2025 Accepting new patients
University Physicians Incorporated Family Medicine Current Accepting new patients
Shriners Hospitals for Children CurrentSince Jul 17, 2025 Accepting new patients
University Physicians, Incorporated CurrentSince Sep 1, 2024 Accepting new patients
Children'S Hospital Colorado Current Accepting new patients
Denver Health and Hospital Authority CurrentSince Mar 1, 2024 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

  • Direct secure messaging: jfenix293068@direct.dhha.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.