EMILY BACALAO MD
NPI 1780258137
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since May 19, 2021PECOS Enrolled
12631 E 17TH AVE RM 3001B, AURORA, CO 80045(303) 724-1965 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emily Bacalao Md NPPES

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

EMILY BACALAO MD (NPI 1780258137) is an individual student in an organized health care education/training program in Aurora, Colorado, licensed in Colorado (TL0008590) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780258137
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEMILY BACALAOCredential: MD
Location Address12631 E 17TH AVE RM 3001BAurora, CO 80045-2527
Mailing Address12631 E 17th Ave Rm 3001b205Aurora, CO 80045-2527 · (303) 724-1965
Sole ProprietorNo
Enumeration DateMay 19, 2021
NPPES CertifiedApril 24, 2021
NPI 1780258137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CO · TL0008590
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12631 E 17TH AVE RM 3001B, Aurora, CO 80045

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Emily Bacalao 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.

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 Emily Bacalao's NPI number?

The NPI number for Emily Bacalao is 1780258137. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Emily Bacalao located?

Emily Bacalao practices at 12631 E 17th Ave Rm 3001B, Aurora, CO 80045. The listed phone number is (303) 724-1965.

What is Emily Bacalao's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Emily Bacalao enrolled in Medicare?

Yes. Emily Bacalao is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Bacalao was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.