MARIO T COLEMAN MD
NPI 1104838242
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Aurora, CO

Active since August 13, 2006PECOS Enrolled
13123 E 16TH AVE, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mario T Coleman Md NPPES

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

MARIO T COLEMAN MD (NPI 1104838242) is an individual neurology with special qualifications in child neurology provider in Aurora, Colorado, licensed in Colorado (DR.0053476) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104838242
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameMARIO T COLEMANCredential: MD
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000
Sole ProprietorNo
Enumeration DateAugust 13, 2006
Last NPPES UpdateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
✔ NPI 1104838242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in CO · DR.0053476✔ Licensed in OK · 23046
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
13123 E 16TH AVE, Aurora, CO 80045

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mario T Coleman 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.

Medicare Billing Reassignment

Medicare enrollment records show Mario Coleman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
13123 E 16TH AVE
Aurora, CO 80045
  • Reassigned Medicare billing, Colorado enrollment
  • 4,283 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
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.

Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Coleman's NPI number?

The NPI number for Mario Coleman is 1104838242. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Mario Coleman located?

Mario Coleman practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.

What is Mario Coleman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Mario Coleman enrolled in Medicare?

Yes. Mario Coleman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mario Coleman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Coleman reassigns Medicare benefits to University Physicians Incorporated (Aurora, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mario Coleman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Coleman accept?

Health plans from Providence Health Plan and Select Health list Mario Coleman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mario Coleman was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.