Denise Michelle Vidas, PA
Physician Assistant, Medical in Aurora, CO. Individual provider (NPI-1).
NPI number1265760367
StatusActive
Last updated in NPPESDec 27, 2022
Details
- NPI
- 1265760367
- Entity type
- Individual (NPI-1)
- Name
- Denise Michelle Vidas
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2009
- Certification date
- Dec 27, 2022
- Last updated
- Dec 27, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 2832 | CO | Yes |
| 363A00000X | Physician Assistant | 2832 | CO |
Practice location
13123 E 16th AveAurora, CO 80045-7106
Phone 720-777-1234
Mailing address
Po Box 110429Aurora, CO 80042-0429
Other practice locations
2055 N High St # 380
Denver, CO 80205-5503
Denver, CO 80205-5503
Phone 303-393-4300 · Fax 303-832-7205
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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