MICHAEL DISTEFANO MD
NPI 1669552006
Pediatrics - Pediatric Emergency Medicine in Aurora, CO
About Michael Distefano Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL DISTEFANO MD (NPI 1669552006) is an individual pediatric emergency medicine provider in Aurora, Colorado, licensed in Colorado (51012) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael Distefano Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michael Distefano 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Michael Distefano's NPI number?
The NPI number for Michael Distefano is 1669552006. It was assigned to this individual provider in the NPPES registry on October 17, 2006.
Where is Michael Distefano located?
Michael Distefano practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.
What is Michael Distefano's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Michael Distefano enrolled in Medicare?
Yes. Michael Distefano is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michael Distefano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Distefano 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 Michael Distefano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michael Distefano was last updated on July 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Michael Distefano, MD · NPI 1669552006
Pediatric Emergency Medicine physician in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since October 17, 2006.
## Identity
- **NPI:** 1669552006 (Entity type: Individual)
- **Enumerated:** October 17, 2006
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 51012 (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:** July 3, 2012
- **Other identifiers:** Medicare UPIN I44614; Medicare ID-Type Unspecified 8G1152; Medicaid 177033101 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1669552006) · Data from the CMS NPPES public registry.