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ELLIOT DICKERSON M.D. NPI 1649560731


NPI Information

NPI: 1649560731
Provider Name: ELLIOT DICKERSON, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
10800 E GEDDES AVE STE 300
ENGLEWOOD, CO
ZIP 80112
Phone: (303) 761-9190
Get Directions

Elliot Dickerson, M.D. is a diagnostic radiology radiology in Englewood, CO with 13 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Elliot Dickerson, M.D. NPI is 1649560731. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

10800 E GEDDES AVE STE 300
ENGLEWOOD, CO
ZIP 80112-895
Phone: (303) 761-9190
Fax: (720) 874-4462

The NPI 1649560731 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan head or brain (HCPCS:70450)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of face (HCPCS:70486)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan chest (HCPCS:71250)

The enumeration date for this NPI number is 4/11/2011 and was last updated on 1/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyA143231CALIFORNIANo
22085R0202XRadiologyDiagnostic RadiologyMD19673HAWAIINo
32085R0202XRadiologyDiagnostic Radiology04-40742KANSASNo
42085R0202XRadiologyDiagnostic Radiology30587NEBRASKANo
52085R0202XRadiologyDiagnostic Radiology59963COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1646456OTHERCOLORADOMEDICARE
2NA1215131OTHERNEBRASKAMEDICARE
3646435OTHERCOLORADOMEDICARE
4646349OTHERCOLORADOMEDICARE
5646494OTHERCOLORADOMEDICARE
6646400OTHERCOLORADOMEDICARE
7646579OTHERCOLORADOMEDICARE
89000159280MEDICAIDCOLORADO
9111257116OTHERKANSASMEDICARE
10201195600AMEDICAIDKANSAS
11KA3249107OTHERKANSASMEDICARE
12NA1214130OTHERNEBRASKAMEDICARE
13NA2517108OTHERNEBRASKAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.