MAXWELL SAM MAYEDA
NPI 1942905286
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since April 04, 2023PECOS Enrolled
12631 E 17TH AVE STE B177, AURORA, CO 80045(303) 724-1784 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maxwell Sam Mayeda NPPES

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

MAXWELL SAM MAYEDA (NPI 1942905286) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942905286
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAXWELL SAM MAYEDA
Location Address12631 E 17TH AVE STE B177Aurora, CO 80045-2527
Mailing Address12631 E 17th Ave Ste B177Aurora, CO 80045-2527 · (303) 724-1784
Sole ProprietorNo
Enumeration DateApril 4, 2023
NPPES CertifiedApril 4, 2023
NPI 1942905286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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 STE B177, 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)

Maxwell Sam Mayeda 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.

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.

Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE B177
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE B177
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE B177
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE B177
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE B177
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE B177
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE B177
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE B177
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 Maxwell Mayeda's NPI number?

The NPI number for Maxwell Mayeda is 1942905286. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Maxwell Mayeda located?

Maxwell Mayeda practices at 12631 E 17th Ave Ste B177, Aurora, CO 80045. The listed phone number is (303) 724-1784.

What is Maxwell Mayeda's specialty?

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

Is Maxwell Mayeda enrolled in Medicare?

Yes. Maxwell Mayeda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maxwell Mayeda was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.