TREVOR LEE NYDAM (MD) – Transplant Surgery Physician, NPI 1215074596

TREVOR LEE NYDAM (MD) is a healthcare provider. based in Aurora, Colorado. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 48359 (CO). The NPI Number for TREVOR LEE NYDAM (MD) is 1215074596

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
TREVOR LEE NYDAM (MD)
NPI
1215074596
Phone
(303) 493-7000
Address
PO BOX 110429
Enumeration Date
30 January 2007
Last Update Date
5 June 2013

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4062377999
Graduation Year
2003 (23 years ago)
PAC ID
5193971943
Group Practice PAC ID
3476465667
Professional Enrollment ID
I20190326001104
Address ID
MT591017508BI2900XNXXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

756 GENERAL SURGERY in CO

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Provider Addresses for TREVOR LEE NYDAM (MD)

  • PO BOX 110429

    AURORA, CO 800420429

    Phone: (303) 493-7000

    Type: Mailing

  • University of Colorado Hospital, 12605, East 16th Avenue, Aurora, Adams County, Colorado, 80045, United States

    AURORA, CO 800452545

    Phone: (720) 848-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,194.

Total Amount is formed as General ($1,194) + Research ($0) + Ownership ($0) = $1,194.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($989).

Total Amount

$1,194

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120809000548IGeneral SurgeryCOTBD
I20190326001104IGeneral SurgeryMTTBD

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
50360Transplantation of donor kidney1515$0
50323Preparation of donor kidney for transplantation1212$0
View full utilization report →

Insurance plans in this area (ZIP 80042)

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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: 3476465667View full group profile
NameSpecialtyState
-CO
Family PracticeCO
Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
Emergency MedicineCO
Emergency MedicineCO
-CO
-CO
Emergency MedicineCO
-CO
-CO

Reviews

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Frequently asked questions

What is the 10-digit NPI for TREVOR LEE NYDAM (MD)?
TREVOR LEE NYDAM (MD) — NPI 1215074596 — is the standard way to identify this listing.
Does CMS list TREVOR LEE NYDAM (MD) as active?
Yes — TREVOR LEE NYDAM (MD) is active in the NPI listing used on this page.
What taxonomy line describes TREVOR LEE NYDAM (MD)?
For research purposes, treat TREVOR LEE NYDAM (MD) as Transplant Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does TREVOR LEE NYDAM (MD) serve?
TREVOR LEE NYDAM (MD)'s listing highlights Aurora, Colorado; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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