NICOLE A. DORIA M.D.
NPI 1811481740
Internal Medicine - Gastroenterology in Denver, CO

Active since June 14, 2018PECOS EnrolledAccepts Medicare Assignment
777 BANNOCK ST, DENVER, CO 80204(303) 436-6000 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2024, Apr 13, 2021, Jun 14, 2018 (3 updates tracked since 2018).

About Nicole A. Doria M.d. NPPES

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

NICOLE A. DORIA M.D. (NPI 1811481740) is an individual gastroenterology provider in Denver, Colorado, licensed in Colorado (DR.0073266) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1811481740
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameNICOLE A. DORIACredential: M.D.
Location Address777 BANNOCK STDenver, CO 80204-4597
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2018
Enumeration DateJune 14, 2018
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1811481740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CO · DR.0073266
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License DR.0073266 (CO)
777 BANNOCK ST, Denver, CO 80204

Secondary Practice Location 1

Location 11635 Aurora CtAurora, CO 80045-2541 · Phone (720) 848-0000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole A. Doria M.d. 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 ID345598702
PECOS Enrollment IDI20240430000642, I20260623002594
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 Billing Reassignments

4

Medicare enrollment records show Nicole Doria reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group
Physical Medicine & Rehabilitation
1224 5TH ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 4,283 clinicians in this Medicare group
Multi-Specialty
401 10TH ST
Berthoud, CO 80513
  • Reassigned Medicare billing, Colorado enrollment
  • 324 clinicians in this Medicare group
Internal Medicine
4605 MACCORKLE AVE SW
South Charleston, WV 25309
  • Reassigned Medicare billing, West Virginia enrollment
  • 466 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.

Areas of Expertise CMS Part B claims 2

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
17 services17 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Clinical Nurse Specialist (Psychiatric/Mental Health)
777 BANNOCK ST
DENVER, CO 80204
Anesthesiology
777 BANNOCK ST
DENVER, CO 80204
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Hospitalist
777 BANNOCK ST
DENVER, CO 80204
Social Worker (Clinical)
777 BANNOCK ST
DENVER, CO 80204
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Physician Assistant
777 BANNOCK ST
DENVER, CO 80204
Family Medicine
777 BANNOCK ST
DENVER, CO 80204

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 Nicole Doria's NPI number?

The NPI number for Nicole Doria is 1811481740. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Where is Nicole Doria located?

Nicole Doria practices at 777 Bannock St, Denver, CO 80204. The listed phone number is (303) 436-6000.

What is Nicole Doria's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nicole Doria enrolled in Medicare?

Yes. Nicole Doria 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.

Which organizations bill Medicare for Nicole Doria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Doria reassigns Medicare benefits to 4 organizations: Denver Health And Hospital Authority (Denver, CO), University Physicians Incorporated (Denver, CO), Banner Health Physicians Colorado LLC (Berthoud, CO) and Ths Physician Partners Inc (South Charleston, WV). Each 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 Nicole Doria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Doria accept?

Health plans from CareSource, Select Health and UnitedHealthcare list Nicole Doria 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.

Is Nicole Doria affiliated with any hospitals?

According to CMS data, Nicole Doria is affiliated with Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Doria was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.