MICHAEL DISTEFANO MD
NPI 1669552006
Pediatrics - Pediatric Emergency Medicine in Aurora, CO

Active since October 17, 2006PECOS Enrolled
97.58/100
CMS Quality Rating
13123 E 16TH AVE, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: July 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1669552006
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameMICHAEL DISTEFANOCredential: MD
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000 · Fax (720) 777-7317
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 3, 2012
NPI 1669552006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in CO · 51012
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License M2307 (TX)
13123 E 16TH AVE, Aurora, CO 80045

Other Identifiers 3

Medicare UPINI44614
Medicare ID-Type Unspecified8G1152
Medicaid177033101TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Distefano Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
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.

What insurance does Michael Distefano accept?

Health plans from Medica list Michael Distefano 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 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.