1. Home
  2. Directory
  3. Colorado
  4. Thornton
  5. Internal Medicine
  6. NPI Profile

TODD DEXTRADEUR MD PC
NPI 1881864072
Internal Medicine in Thornton, CO

Active since March 04, 2008
51 W. 84TH AVE, STE 300, THORNTON, CO 80260(720) 289-8184(303) 457-2341 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Todd Dextradeur Md Pc NPPES

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

TODD DEXTRADEUR MD PC (NPI 1881864072) is a healthcare organization registered as an internal medicine in Thornton, Colorado and active in the NPI registry since March 2008. The organization lists Todd C. Dextradeur, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1881864072
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTODD DEXTRADEUR MD PC
Location Address51 W. 84TH AVE, STE 300Thornton, CO 80260-4883
Mailing Address1324 S. Race StreetDenver, CO 80210-2332 · (720) 289-8184 · Fax (303) 457-2341
Phone(720) 289-8184
Fax(303) 457-2341
Organization SubpartNo
Authorized OfficialTodd C. DextradeurOwner/physician · (720) 289-8184
Enumeration DateMarch 4, 2008
Last NPPES UpdateOctober 9, 2020
NPPES CertifiedOctober 9, 2020
✔ NPI 1881864072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 35500 (CO)
51 W. 84TH AVE, Thornton, CO 80260
Open in Google Maps ↗

Other Identifiers 2

Other35500CO · Medical Lic
Medicaid01355007CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Todd Dextradeur Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20040304001151Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 Todd Dextradeur MD PC's NPI number?

The NPI number for Todd Dextradeur MD PC is 1881864072. It was assigned to this organization in the NPPES registry on March 4, 2008.

Where is Todd Dextradeur MD PC located?

Todd Dextradeur MD PC is located at 51 W. 84th Ave Ste 300, Thornton, CO 80260. The listed phone number is (720) 289-8184.

What is Todd Dextradeur MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Todd Dextradeur MD PC enrolled in Medicare?

Yes. Todd Dextradeur MD PC is registered in the Medicare PECOS enrollment system.

When is Todd Dextradeur MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Todd Dextradeur MD PC was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.