DERREK MASSANARI MD
NPI 1467560169
Pediatrics - Pediatric Emergency Medicine in Aurora, CO
About Derrek Massanari Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERREK MASSANARI MD (NPI 1467560169) is an individual pediatric emergency medicine provider in Aurora, Colorado, licensed in Colorado (DR.0044539) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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)
Derrek Massanari Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Derrek Massanari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
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.
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.
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
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 Derrek Massanari's NPI number?
The NPI number for Derrek Massanari is 1467560169. It was assigned to this individual provider in the NPPES registry on August 25, 2006.
Where is Derrek Massanari located?
Derrek Massanari practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.
What is Derrek Massanari's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Derrek Massanari enrolled in Medicare?
Yes. Derrek Massanari is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Derrek Massanari's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derrek Massanari 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 Derrek Massanari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derrek Massanari accept?
Health plans from Select Health list Derrek Massanari 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 Derrek Massanari was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Derrek Massanari, MD · NPI 1467560169
Pediatric Emergency Medicine physician in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since August 25, 2006.
## Identity
- **NPI:** 1467560169 (Entity type: Individual)
- **Enumerated:** August 25, 2006
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** DR.0044539 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 13123 E 16TH AVE, Aurora, CO 80045-7106
- **Phone:** (720) 777-1234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Physicians Incorporated (NPI 1083662498, Aurora, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2018
- **Other identifiers:** Medicaid 28381360 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1467560169) · Data from the CMS NPPES public registry.