Active NPI
Clifford Lorin Zeller, M.D.
- Psychiatry Physician
- Denver, CO
National Provider Identifier
1962580001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DR18448
- Practice address
- 5031 S Ulster St
Suite 350
Denver, CO 80237-2804 - Phone
- (720) 381-0015
- Fax
- (720) 381-0149
- NPI assigned
- Nov 2, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DR18448 | CO | Primary |
| Psychiatry Physician | 2084P0800X | 45116 | AZ |
Addresses
Primary practice location
5031 S Ulster St
Suite 350
Denver, CO 80237-2804
Mailing address
5031 S Ulster St
Suite 350
Denver, CO 80237-2804
Phone (720) 381-0015
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16437373 | Medicaid | CO | |
| 647945 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2016 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR18448 | CO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381449600000",
"number": "1962580001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5031 S ULSTER ST",
"address_2": "SUITE 350",
"city": "DENVER",
"state": "CO",
"postal_code": "802372804",
"telephone_number": "720-381-0015",
"fax_number": "720-381-0149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5031 S ULSTER ST",
"address_2": "SUITE 350",
"city": "DENVER",
"state": "CO",
"postal_code": "802372804",
"telephone_number": "720-381-0015",
"fax_number": "720-381-0149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELLER",
"first_name": "CLIFFORD",
"middle_name": "LORIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2013-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR18448",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "45116",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16437373",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "647945",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.