Individual provider Active NPI

Amy Jeanne Espinosa, D.O.

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1962543769
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45505 Issued in CO
Practice address
535 16TH St
Ste 750
Denver, CO 80202-4228
Phone
(303) 825-4646
Fax
(303) 825-3215
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 45505 CO
Internal Medicine Physician 207R00000X 45505 CO Primary

Addresses

Primary practice location

535 16TH St
Ste 750
Denver, CO 80202-4228

Mailing address

535 16TH St
Ste 750
Denver, CO 80202-4228
Phone (303) 825-4646

Other identifiers 1

IdentifierTypeStateIssuer
30401038MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260120003440 NV Practitioner - Internal Medicine 4385737782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Origin Healthcare PCGroup PAC ID 3072917293, 4 clinicians

Practice addresses (Care Compare)

Henderson, NV 89052
Phone (888) 777-2718

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45505COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Colorado Hospitalists Professional LLC Hospitalist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amy.espinosa.1@22898.direct.athenahealth.com

Organizations & group practices 2

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1962543769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 16TH ST",
            "address_2": "STE 750",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802024228",
            "telephone_number": "303-825-4646",
            "fax_number": "303-825-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 16TH ST",
            "address_2": "STE 750",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802024228",
            "telephone_number": "303-825-4646",
            "fax_number": "303-825-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOSA",
        "first_name": "AMY",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "45505",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "45505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30401038",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.