Active NPI
Michael Ross Wasserman, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Aurora, CO
National Provider Identifier
1992748537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 34004
- Practice address
- 1400 S Potomac St
Ste. 150
Aurora, CO 80012-4528 - Phone
- (303) 306-4321
- NPI assigned
- Jun 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 34004 | CO | Primary |
Addresses
Primary practice location
1400 S Potomac St
Ste. 150
Aurora, CO 80012-4528
Mailing address
10708 E Crestridge Cir
Englewood, CO 80111-3810
Phone (303) 740-9306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34004 | CO | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care of Colorado, PC | Geriatric Medicine | Past | Accepting new patients |
| Inpatient Consultants of Colorado, PC | Past | Accepting new patients | |
| Inpatient Consultants of Colorado PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Aurora, CO
- NPI 1659313062
-
- Hospitalist Physician
- Aurora, CO
- NPI 1720184690
-
- Internal Medicine Physician
- Denver, CO
- NPI 1538461256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1992748537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10708 E CRESTRIDGE CIR",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801113810",
"telephone_number": "303-740-9306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S POTOMAC ST",
"address_2": "STE. 150",
"city": "AURORA",
"state": "CO",
"postal_code": "800124528",
"telephone_number": "303-306-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERMAN",
"first_name": "MICHAEL",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CO",
"license": "34004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.