DR. TERRY SHIRA SAMUEL (M.D.) – Anesthesiology Physician, NPI 1972541993
Anesthesiology Physician
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NPPES metrics only — not quality of care.
1,169 ANESTHESIOLOGY in CO
Provider Addresses for DR. TERRY SHIRA SAMUEL (M.D.)
10350 E Dakota Ave
Denver, CO 802471314
Phone: (303) 338-4545
Type: Location
10350 E DAKOTA AVE
DENVER, CO 802471314
Phone:
Type: Mailing
West 2nd Place, Lakewood, Jefferson County, Colorado, 80228, United States
LAKEWOOD, CO 802281527
Phone: (719) 537-0712
Type: Location
Kaiser Permanente, 2500, South Havana Street, Aurora, Arapahoe County, Colorado, 80014, United States
AURORA, CO 800141618
Phone: (303) 338-4545
Type: Mailing
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: 2011-01-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110128000454 | I | Anesthesiology | CO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 141 | 141 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 56 | 56 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 38 | 38 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 37 | 37 | $0 |
Insurance plans in this area (ZIP 80247)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Gastroenterology | MI | |
| - | CO | |
| Gastroenterology, Internal Medicine | CO | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| G A S T R O E N T E R O L O G Y | CO | |
| Gastroenterology, Internal Medicine | CO | |
| Internal Medicine, Gastroenterology | CO | |
| A N E S T H E S I O L O G Y | CO | |
| Internal Medicine, Gastroenterology | CO | |
| Internal Medicine, Gastroenterology | CO |
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