SOUTH DENVER PHYSICIANS PLLC
NPI 1124463161
Internal Medicine in Centennial, CO

Active since May 03, 2013CLIA 06D2069723 · Waiver
13111 E BRIARWOOD AVE, #370, CENTENNIAL, CO 80112(720) 441-4410(888) 474-7158 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Denver Physicians Pllc NPPES

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

SOUTH DENVER PHYSICIANS PLLC (NPI 1124463161) is a healthcare organization registered as an internal medicine in Centennial, Colorado and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Dmitriy I Pales, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1124463161
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTH DENVER PHYSICIANS PLLC
Location Address13111 E BRIARWOOD AVE, #370Centennial, CO 80112
Mailing Address13111 E Briarwood Ave, Suite #370Centennial, CO 80112-3930 · (720) 441-4410 · Fax (888) 474-7158
Fax(888) 474-7158
Organization SubpartNo
Authorized OfficialDmitriy I PalesSole Member · (720) 441-4410
Enumeration DateMay 3, 2013
Last NPPES UpdateMarch 13, 2014
NPI 1124463161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CO · 46797
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 47080 (CO)
13111 E BRIARWOOD AVE, Centennial, CO 80112

Other Identifiers 1

Medicaid148761CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2069723

South Denver Physicians, PLLC · Centennial, CO
Active · expires Dec 1, 2027
CLIA Number06D2069723
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorDr. Dmitriy I. Pales
Laboratory Phone(720) 441-4410
Laboratory LocationSouth Denver Physicians, PLLC13111 E Briarwood Ave, Ste 370, Centennial, CO 80112
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

Internal Medicine
13111 E BRIARWOOD AVE, STE 250
CENTENNIAL, CO 80112
Nurse Practitioner (Family)
13111 E BRIARWOOD AVE, SUITE 105
CENTENNIAL, CO 80112
Chiropractor
13111 E BRIARWOOD AVE
CENTENNIAL, CO 80112
Physician Assistant
13111 E BRIARWOOD AVE
CENTENNIAL, CO 80112
Internal Medicine
13111 E BRIARWOOD AVE, SUITE 250
CENTENNIAL, CO 80112
Psychiatry & Neurology (Neurology)
13111 E BRIARWOOD AVE, #370
CENTENNIAL, CO 80112
Dermatology
13111 E BRIARWOOD AVE, 305
CENTENNIAL, CO 80112
Nurse Practitioner (Family)
13111 E BRIARWOOD AVE, STE 105
CENTENNIAL, CO 80112

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 South Denver Physicians PLLC's NPI number?

The NPI number for South Denver Physicians PLLC is 1124463161. It was assigned to this organization in the NPPES registry on May 3, 2013.

Where is South Denver Physicians PLLC located?

South Denver Physicians PLLC is located at 13111 E Briarwood Ave #370, Centennial, CO 80112. The listed phone number is (720) 441-4410.

What is South Denver Physicians PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does South Denver Physicians PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2069723) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Denver Physicians PLLC was last updated on March 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.