Active NPI
Samuel Percy, M.D.
- Pediatric Anesthesiology Physician
- Aurora, CO
National Provider Identifier
1942696315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- DR.0062472
- Practice address
- 13123 E 16TH Ave
Aurora, CO 80045-7106 - Phone
- (970) 214-9692
- NPI assigned
- Apr 12, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | DR.0062472 | CO | |
| Pediatric Anesthesiology Physician | 207LP3000X | DR.0062472 | CO | Primary |
Addresses
Primary practice location
13123 E 16TH Ave
Aurora, CO 80045-7106
Mailing address
PO Box 110429
Aurora, CO 80042-0429
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians Incorporated | Current | Accepting new patients | |
| University Physicians Incorporated | Anesthesiology | Current | Accepting new patients |
| Children'S Hospital Colorado | Current | Accepting new patients | |
| University Physicians, Incorporated | Current | Accepting new patients |
Locations
12631 E 17th Ave
Aurora, CO 80045
Phone (303) 724-2680
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
Dept 1061
Denver, CO 80256
Interoperability endpoints
- spercy48012@direct.childrenscolorado.org
Organizations & group practices 4
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.
-
dba CU Medicine
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
Anesthesiology
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
dba CU Medicine - Highlands Ranch Specialty Care Center
- Surgery Physician
- Highlands Ranch, CO
- NPI 1922572833
-
dba CU Sports Medicine Colorado Center
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1942696315",
"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": "13123 E 16TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800457106",
"telephone_number": "970-214-9692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERCY",
"first_name": "SAMUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-12",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "DR.0062472",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "CO",
"license": "DR.0062472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Allison Christine Percevich, NP
- Maria Alejandra Pereda Ginocchio, M.D
- Ann Pereira, ANP
- Nancy M Pereyra Gonzalez, RDH
- Olivia Maria Perez -Amick, LCSW
- Jose Perez Flores
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.