Individual provider Active NPI

Curtis L Waln, MD

  • Internal Medicine Physician
  • Greeley, CO
National Provider Identifier
1962596353
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR 0037400 Issued in CO
Practice address
2010 16TH St Ste C
Banner Internal Medicine - Greeley
Greeley, CO 80631-5188
Phone
(970) 350-5660
Fax
(970) 350-5669
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20020393 NM
Internal Medicine Physician 207R00000X DR 0037400 CO Primary

Addresses

Primary practice location

2010 16TH St Ste C
Banner Internal Medicine - Greeley
Greeley, CO 80631-5188

Mailing address

2010 16TH St Ste C
Banner Internal Medicine - Greeley
Greeley, CO 80631-5188
Phone (970) 350-5660

Other identifiers 1

IdentifierTypeStateIssuer
87103010MedicaidNM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131010000542 CO Practitioner - Internal Medicine 3274661442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mauricio Waintrub, M.D., P.CGroup PAC ID 0042118192, 27 clinicians

Practice addresses (Care Compare)

1525 Raleigh St
Suite 220
Denver, CO 80204-1497
Phone (303) 433-2565

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR 0037400COMDInternal Medicine Physician
20020393NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mauricio Waintrub, M.D., P.C Internal Medicine CurrentSince May 1, 2019 Accepting new patients

Locations

1360 S Potomac St
Ste 100
Aurora, CO 80012

1525 Raleigh St
Ste 220
Denver, CO 80204
Phone (303) 433-2565

1360 S Potomac St
Denver, CO 80012
Phone 30333755752023

56441 E Colfax Ave
Strasburg, CO 80136
Phone (303) 622-9241

Organizations & group practices 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1962596353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 16TH ST STE C",
            "address_2": "BANNER INTERNAL MEDICINE - GREELEY",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315188",
            "telephone_number": "970-350-5660",
            "fax_number": "970-350-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 16TH ST STE C",
            "address_2": "BANNER INTERNAL MEDICINE - GREELEY",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315188",
            "telephone_number": "970-350-5660",
            "fax_number": "970-350-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALN",
        "first_name": "CURTIS",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "20020393",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR 0037400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87103010",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.