NICHOLAS BIANCHINA MD
NPI 1225614860
Hospitalist in Aurora, CO

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2025, Aug 7, 2024, Jun 25, 2024 and 1 more (4 updates tracked since 2021).

About Nicholas Bianchina Md NPPES

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

NICHOLAS BIANCHINA MD (NPI 1225614860) is an individual hospitalist provider in Aurora, Colorado, licensed in Colorado (DR.0072698) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of University Of Colorado School Of Medicine, Aurora (2021).

NPPES Registry Identity

NPI1225614860
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameNICHOLAS BIANCHINACredential: MD
Location Address12605 E 16TH AVEAurora, CO 80045-2545
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2021
Enumeration DateMarch 23, 2021
Last NPPES UpdateMay 28, 20254 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1225614860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CO · DR.0072698
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0072698 (CO)
12605 E 16TH AVE, Aurora, CO 80045

Secondary Practice Location 1

Location 1777 Bannock StDenver, CO 80204-4597 · Phone (303) 436-4949 · Fax (303) 602-5056

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Bianchina 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 ID3173924982
PECOS Enrollment IDI20241111002675
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 Reassignments

2

Medicare enrollment records show Nicholas Bianchina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
12605 E 16TH AVE, UNIVERSITY OF COLORADO HOSPITAL
Aurora, CO 80045
  • Reassigned Medicare billing, Colorado enrollment
  • 4,283 clinicians in this Medicare group
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 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.

Surgery (Trauma Surgery)
12605 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Emergency Medicine)
12605 E 16TH AVE
AURORA, CO 80045
Pharmacist
12605 E 16TH AVE
AURORA, CO 80045
Surgery (Surgical Critical Care)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Adult Health)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Family)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
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 Nicholas Bianchina's NPI number?

The NPI number for Nicholas Bianchina is 1225614860. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Nicholas Bianchina located?

Nicholas Bianchina practices at 12605 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Nicholas Bianchina's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nicholas Bianchina enrolled in Medicare?

Yes. Nicholas Bianchina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicholas Bianchina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Bianchina reassigns Medicare benefits to 2 organizations: University Physicians Incorporated (Aurora, CO) and Denver Health And Hospital Authority (Denver, CO). Each 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 Nicholas Bianchina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Bianchina accept?

Health plans from Select Health list Nicholas Bianchina 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 Nicholas Bianchina was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.