TANNER MUGGLI MD
NPI 1124653217
Student in an Organized Health Care Education/Training Program in Denver, CO

Active since March 09, 2020PECOS EnrolledAccepts Medicare Assignment
777 BANNOCK ST # MC0108, DENVER, CO 80204(303) 602-5193 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 17, 2025, Apr 14, 2021, Mar 9, 2020 (3 updates tracked since 2020).

About Tanner Muggli Md NPPES

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

TANNER MUGGLI MD (NPI 1124653217) is an individual student in an organized health care education/training program in Denver, Colorado and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of University Of Washington School Of Medicine (2021).

NPPES Registry Identity

NPI1124653217
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTANNER MUGGLICredential: MD
Location Address777 BANNOCK ST # MC0108Denver, CO 80204-4507
Mailing Address1959 Ne Pacific StSeattle, WA 98195-0001
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2021
Enumeration DateMarch 9, 2020
Last NPPES UpdateApril 14, 20213 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
NPI 1124653217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

777 BANNOCK ST # MC0108, Denver, CO 80204

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tanner Muggli Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971021916
PECOS Enrollment IDI20250514001387
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

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.

Emergency Medicine
777 BANNOCK ST # MC0108, DENVER HEALTH RESIDENCY IN EMERGENCY MEDICINE
DENVER, CO 80204
Student in an Organized Health Care Education/Training Program
777 BANNOCK ST # MC0108
DENVER, CO 80204
Emergency Medicine
777 BANNOCK ST # MC0108
DENVER, CO 80204
Emergency Medicine
777 BANNOCK ST # MC0108
DENVER, CO 80204
Emergency Medicine
777 BANNOCK ST # MC0108
DENVER, CO 80204
Emergency Medicine
777 BANNOCK ST # MC0108
DENVER, CO 80204
Emergency Medicine
777 BANNOCK ST # MC0108, 777 BANNOCK ST, MC 0108
DENVER, CO 80204
Emergency Medicine
777 BANNOCK ST # MC0108
DENVER, CO 80204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124653217, enumerated as an "individual" on March 09, 2020.

The provider is located at 777 BANNOCK ST # MC0108 DENVER, CO 80204 and the phone number is (303) 602-5193.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Tanner Muggli is affiliated with: LEGACY EMANUEL MEDICAL CENTER.