MR. PHILIP TOD FULLER PA-C, MMS, BS, EMT-P
NPI 1447403209
Physician Assistant - Surgical in Aurora, CO

Active since October 24, 2008PECOS EnrolledAccepts Medicare Assignment
1411 S POTOMAC ST, SUITE 400, AURORA, CO 80012(303) 695-6060(303) 369-7776 Get Directions Write a Review

NPPES record last updated: October 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Philip Tod Fuller Pa-c, Mms, Bs, Emt-p NPPES

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

MR. PHILIP TOD FULLER PA-C, MMS, BS, EMT-P (NPI 1447403209) is an individual surgical provider in Aurora, Colorado, licensed in Colorado (2697) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1447403209
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. PHILIP TOD FULLERCredential: PA-C, MMS, BS, EMT-P
Location Address1411 S POTOMAC ST, SUITE 400Aurora, CO 80012-4536
Mailing Address1411 S Potomac St, Suite 400Aurora, CO 80012-4536 · (303) 695-6060 · Fax (303) 369-7776
Fax(303) 369-7776
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 24, 2008
NPI 1447403209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CO · 2697
1411 S POTOMAC ST, Aurora, CO 80012

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

Mr. Philip Tod Fuller Pa-c, Mms, Bs, Emt-p 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 ID1850456575
PECOS Enrollment IDI20090212000562
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
54 services54 patients

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.

Orthopaedic Surgery
1411 S POTOMAC ST, STE 400
AURORA, CO 80012
Orthopaedic Surgery
1411 S POTOMAC ST, STE 400
AURORA, CO 80012
Physical Therapist
1411 S POTOMAC ST, SUITE 350
AURORA, CO 80012
Physical Therapist
1411 S POTOMAC ST, SUITE 350
AURORA, CO 80012
Nurse Practitioner (Family)
1411 S POTOMAC ST, SUITE 200
AURORA, CO 80012
Physician Assistant
1411 S POTOMAC ST, SUITE 400
AURORA, CO 80012
Physical Therapist
1411 S POTOMAC ST, #400
AURORA, CO 80012
Orthopaedic Surgery
1411 S POTOMAC ST, STE 400
AURORA, CO 80012

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 Philip Fuller's NPI number?

The NPI number for Philip Fuller is 1447403209. It was assigned to this individual provider in the NPPES registry on October 24, 2008.

Where is Philip Fuller located?

Philip Fuller practices at 1411 S Potomac St Suite 400, Aurora, CO 80012. The listed phone number is (303) 695-6060.

What is Philip Fuller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Philip Fuller enrolled in Medicare?

Yes. Philip Fuller 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.

When was this NPI record last updated?

The NPPES record for Philip Fuller was last updated on October 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.