Mile High Otolaryngology

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MILE HIGH OTOLARYNGOLOGY

Practice address

12207 Pecos St Ste 100
Westminster, CO 80234-3891

Phone

(303) 487-0834

Fax

(303) 487-6932

NPI assigned

Dec 15, 2020

Last updated

Dec 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd William Beatty, MDNPI 1619985249

Title

Owner/Provider

Phone

(303) 487-0834

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mile High Otolaryngology

  • Otolaryngology Physician
  • Arvada, CO
  • NPI 1699854463

  O20040115000955

  Same enrollment

Tax ID family

Mile High Otolaryngology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mile High Otolaryngology

  • Otolaryngology Physician
  • Arvada, CO
  • NPI 1699854463
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Todd William Beatty, MD

  • Otolaryngology Physician
  • Arvada, CO
  • NPI 1619985249
  NPD Authorized official
• Megan Raffle, AUD

  • Audiologist
  • Arvada, CO
  • NPI 1952918492
  NPD
• Sarmad Sabour, MD

  • Otolaryngology Physician
  • Arvada, CO
  • NPI 1902007743
  NPD
• Tess Alexandra Zaccardi, AUD

  • Audiologist
  • Aurora, CO
  • NPI 1689291650
  NPD
• Amanda R Bailey, D.O.

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1750837456
  NPD (past)

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1932795846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6870 W 52ND AVE STE 207",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023953",
            "telephone_number": "303-487-0834",
            "fax_number": "303-487-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12207 PECOS ST STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343891",
            "telephone_number": "303-487-0834",
            "fax_number": "303-487-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH OTOLARYNGOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "303-487-0834",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Westminster, CO
• Providers in Westminster, CO by specialty
• Otolaryngology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.