DR. NADIA M DEARSTYNE (M.D.) – Emergency Medicine Physician, NPI 1104053495

DR. NADIA M DEARSTYNE (M.D.) is a healthcare provider. based in Denver, Colorado. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. MT195609 (PA). The NPI Number for DR. NADIA M DEARSTYNE (M.D.) is 1104053495

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. NADIA M DEARSTYNE (M.D.)
NPI
1104053495
Phone
(303) 436-4949
Address
777 Bannock St
Enumeration Date
15 June 2009
Last Update Date
11 December 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7198469213
Graduation Year
2009 (17 years ago)
PAC ID
4981850013
Group Practice PAC ID
2860633435
Professional Enrollment ID
I20120806000707
Address ID
CO810822005TR410XXAVEX300

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:16State licenses:2Other namesUpdated within 12 months

1,190 EMERGENCY MEDICINE in CO

Provider Addresses for DR. NADIA M DEARSTYNE (M.D.)

  • 777 Bannock St

    Denver, CO 802044597

    Phone: (303) 436-4949

    Fax: (303) 602-5184

    Type: Location

  • Kaiser Permanente Highline Behavioral Health Center, 10350, East Dakota Avenue, Denver, Denver County, Colorado, 80247-1314, United States

    DENVER, CO 802471314

    Phone:

    Type: Mailing

  • SCL Health Saint Joseph Hospital, 1375, East 19th Avenue, City Park West, Denver, Denver County, Colorado, 80218, United States

    DENVER, CO 802181114

    Phone: (303) 338-4545

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120806000707IEmergency MedicineCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making6058$0
99284Emergency department visit with moderate level of medical decision making3636$0
View full utilization report →

Insurance plans in this area (ZIP 80204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860633435View full group profile
NameSpecialtyState
Emergency MedicineAZ
Emergency MedicineNV
Nurse PractitionerAZ
Nurse PractitionerAZ
Emergency MedicineAZ
Emergency MedicineCO
-NM
Emergency MedicineMN
Emergency MedicineCO
Emergency MedicineCO

Reviews

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Frequently asked questions

Does DR. NADIA M DEARSTYNE (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. NADIA M DEARSTYNE (M.D.) uses 1104053495.
Can I rely on DR. NADIA M DEARSTYNE (M.D.) being an active provider?
As of the registry snapshot, DR. NADIA M DEARSTYNE (M.D.) is marked active.
What is DR. NADIA M DEARSTYNE (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. NADIA M DEARSTYNE (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. NADIA M DEARSTYNE (M.D.) based?
DR. NADIA M DEARSTYNE (M.D.) is tied to Denver, Colorado in the data we show; additional addresses may exist on the full record.
Why does DR. NADIA M DEARSTYNE (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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