Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NICHOLOS POOTHULLIL JOSEPH MD
NPI 1063107043
Emergency Medicine in Denver, CO

Q: What is Nicholos Joseph's NPI number?

The NPI number for Nicholos Joseph is 1063107043. It was assigned to this individual provider in the NPPES registry on April 6, 2023. The provider is also known as Nicky Joseph.

Q: What is Nicholos Joseph's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholos Joseph was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2023PECOS Enrolled

777 BANNOCK ST # MC0108, DENVER, CO 80204(303) 602-5193 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Apr 6, 2023 (2 updates tracked since 2023).

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About Dr. Nicholos Poothullil Joseph Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLOS POOTHULLIL JOSEPH MD (NPI 1063107043) is an individual emergency medicine provider in Denver, Colorado, licensed in Colorado (DR.0077856) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063107043

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. NICHOLOS POOTHULLIL JOSEPHCredential: MD

Location Address777 BANNOCK ST # MC0108Denver, CO 80204-4597

Mailing Address777 Bannock St # Mc0108Denver, CO 80204-4597 · (303) 602-5193

Phone(303) 602-5193

Sole ProprietorNo

Enumeration DateApril 6, 2023

Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ NPI 1063107043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CO · DR.0077856

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

777 BANNOCK ST # MC0108, Denver, CO 80204

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Other Names 1

Other Name (5)Nicky Joseph

Secondary Practice Locations 2

Location 112505 East 16th Aveaurora, CO 80045 · Phone (720) 848-0000

Location 210350 E Dakota AveDenver, CO 80247-1314 · Phone (303) 338-4545

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholos Poothullil Joseph Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY WHAM

Student in an Organized Health Care Education/Training Program