Active NPI
Dejan Grujic
- Anesthesiology Physician
- Aspen, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DR.0067523
- Practice address
- 401 Castle Creek Rd
Aspen, CO 81611-1159 - Phone
- (970) 925-1120
- NPI assigned
- Oct 5, 2007
- Last updated
- Apr 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | DR.0067523 | CO | Primary |
| Surgery Physician | 208600000X | 99999999 | PA |
Addresses
Primary practice location
401 Castle Creek Rd
Aspen, CO 81611-1159
Mailing address
323 Llandrillo Rd
Bala Cynwyd, PA 19004-2336
Other practice location 1
323 Llandrillo Rd
Bala Cynwyd, PA 19004-2336
Phone (666) 666-6666
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 Castle Creek Rd
Aspen, CO 81611-1159
Phone (970) 925-1120
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99999999 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Anesthesia, Inc | Current | Accepting new patients |
Locations
401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192
1450 E Valley Rd
Unit 202
Basalt, CO 81621
Phone (970) 384-6940
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Anesthesiology) Physician
- Aspen, CO
- NPI 1811042898
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Basalt After Hours Care Center
- Urgent Care Clinic/Center
- Basalt, CO
- NPI 1396986261
Hospital
-
- Critical Access Hospital
- Aspen, CO
- NPI 1518960814
-
dba Snowmass Clinic
- Clinic/Center
- Snowmass Village, CO
- NPI 1710942495
Hospital
-
- Durable Medical Equipment & Medical Supplies
- Aspen, CO
- NPI 1942357363
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1972791705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 LLANDRILLO RD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CASTLE CREEK RD",
"city": "ASPEN",
"state": "CO",
"postal_code": "816111159",
"telephone_number": "970-925-1120"
}
],
"practiceLocations": [
{
"address_1": "323 Llandrillo Rd",
"address_purpose": "LOCATION",
"city": "Bala Cynwyd",
"state": "PA",
"postal_code": "190042336",
"country_code": "US",
"telephone_number": "666-666-6666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUJIC",
"first_name": "DEJAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-05",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "DR.0067523",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "99999999",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aspen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.