Individual provider Active NPI

Garyfallos T Garyfallou, MD

  • Emergency Medicine Physician
  • Lakewood, CO
National Provider Identifier
1962475194
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35106 Issued in CO
Practice address
11600 W 2ND PL
St. Anthony Hospital, Emergency Dept.
Lakewood, CO 80228-1527
Phone
(720) 321-4161
Fax
(720) 321-4165
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35106 CO Primary

Addresses

Primary practice location

11600 W 2ND PL
St. Anthony Hospital, Emergency Dept.
Lakewood, CO 80228-1527

Mailing address

PO Box 5788
Denver, CO 80217-5788
Phone (303) 202-1280

Other identifiers 6

IdentifierTypeStateIssuer
01351063MedicaidCO
122686000MedicaidWY
143822MedicaidAZ
200401010AMedicaidKS
P00335104OtherCORR MEDICARE
Z3286MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040506000880 CO Practitioner - Emergency Medicine 5496744401 Reassigns benefits to 4 organizations
I20240916003210 OR Practitioner - Emergency Medicine 5496744401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santiam Memorial HospitalGroup PAC ID 6103729751, 128 clinicians

Practice addresses (Care Compare)

1401 N 10TH Ave
Stayton, OR 97383-1311
Phone (503) 769-2175

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
86.65
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35106COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine CurrentSince Nov 26, 2018 Accepting new patients
Santiam Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
Premier Emergency Services, Inc Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Santiam Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
Santiam Memorial Hospital Current Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Nov 26, 2018 Accepting new patients
Premier Emergency Services, Inc Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine Current Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Apex Emergency Group, Inc Emergency Medicine Past Accepting new patients
Abington Emergency Physician Associates PC Emergency Medicine Past Accepting new patients

Locations

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

760 Warner Dr
Golden, CO 80401
Phone (303) 925-4360

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546

1401 N 10th Ave
Stayton, OR 97383
Phone (503) 769-2175

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1962475194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5788",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175788",
            "telephone_number": "303-202-1280",
            "fax_number": "303-202-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 W 2ND PL",
            "address_2": "ST. ANTHONY HOSPITAL, EMERGENCY DEPT.",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281527",
            "telephone_number": "720-321-4161",
            "fax_number": "720-321-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARYFALLOU",
        "first_name": "GARYFALLOS",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "35106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01351063",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122686000",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143822",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200401010A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00335104",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z3286",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.