WILLIAM WENOKOR (M.D.) – Psychiatry Physician, NPI 1649563917

WILLIAM WENOKOR (M.D.) is a healthcare provider. based in Boulder, Colorado. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 31479 (CO). The NPI Number for WILLIAM WENOKOR (M.D.) is 1649563917

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM WENOKOR (M.D.)
NPI
1649563917
Phone
(303) 541-9557
Address
3445 PENROSE PL
Enumeration Date
19 May 2011
Last Update Date
19 May 2011

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
9072697100
Graduation Year
1985 (41 years ago)
PAC ID
0345288460
Group Practice PAC ID
5395638571
Professional Enrollment ID
I20250529001399
Address ID
AK995084665AN3700XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

607 PSYCHIATRY in CO

Provider Addresses for WILLIAM WENOKOR (M.D.)

  • 3445 PENROSE PL

    SUITE 130

    BOULDER, CO 803011878

    Phone: (303) 541-9557

    Fax: (303) 444-5551

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2024-06-21 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($102).

Total Amount

$145

General + Research + Ownership

Payments

3

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-21

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: 2025-05-29

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
I20250529001399IPsychiatryAKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80301)

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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: 5395638571View full group profile
NameSpecialtyState
P S Y C H I A T R YPA
-MN
Nurse PractitionerAK
Nurse PractitionerAK
Nurse PractitionerAK
Family PracticeAK
P S Y C H I A T R YNY
Nurse PractitionerWA
P S Y C H I A T R YAK
Addiction Medicine, PsychiatryMN

Reviews

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Frequently asked questions

Where can patients find WILLIAM WENOKOR (M.D.)'s NPI?
You can confirm WILLIAM WENOKOR (M.D.) with NPI 1649563917; it appears in the national provider directory.
Does this profile mean WILLIAM WENOKOR (M.D.) is currently active?
Yes — WILLIAM WENOKOR (M.D.) appears active in the national provider directory.
What kind of provider is WILLIAM WENOKOR (M.D.)?
The page reflects Psychiatry Physician for WILLIAM WENOKOR (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for WILLIAM WENOKOR (M.D.)?
The page summarizes Boulder, Colorado for WILLIAM WENOKOR (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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