Individual provider Active NPI

Nathan Riechers, MD

  • Pediatrics Physician
  • Lakewood, CO
National Provider Identifier
1972000495
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR.0064795 Issued in CO
Practice address
13772 Denver West Pkwy Ste 250
Lakewood, CO 80401-3196
Phone
(303) 216-0333
NPI assigned
Apr 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DR.0064795 CO Primary

Addresses

Primary practice location

13772 Denver West Pkwy Ste 250
Lakewood, CO 80401-3196

Mailing address

13772 Denver West Pkwy Ste 250
Lakewood, CO 80401-3196
Phone (303) 216-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20191210001612 UT Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4880027507

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0064795COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver West Pediatrics, PC PastSince Apr 17, 2022 Accepting new patients

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1972000495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PKWY STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013196",
            "telephone_number": "303-216-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PKWY STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013196",
            "telephone_number": "303-216-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIECHERS",
        "first_name": "NATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0064795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.