NICCO BUFFOLINO MD
NPI 1982280855
General Practice in Aurora, CO

Active since March 22, 2021PECOS Enrolled
12631 E 17TH AVE STE B177, AURORA, CO 80045(303) 724-1784 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 28, 2022, Mar 22, 2021 (2 updates tracked since 2021).

About Nicco Buffolino Md NPPES

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

NICCO BUFFOLINO MD (NPI 1982280855) is an individual general practice provider in Aurora, Colorado, licensed in Colorado (DR.0069224) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982280855
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameNICCO BUFFOLINOCredential: MD
Location Address12631 E 17TH AVE STE B177Aurora, CO 80045-2527
Mailing Address12631 E 17th Ave Ste B177Aurora, CO 80045-2527
Sole ProprietorNo
Enumeration DateMarch 22, 2021
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1982280855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CO · DR.0069224
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
12631 E 17TH AVE STE B177, Aurora, CO 80045

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicco Buffolino 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 Billing Reassignment

Medicare enrollment records show Nicco Buffolino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Colorado, Nebraska and Texas enrollments
  • 290 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.

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
Internal Medicine (Medical Oncology)
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 Nicco Buffolino's NPI number?

The NPI number for Nicco Buffolino is 1982280855. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Nicco Buffolino located?

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

What is Nicco Buffolino's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Nicco Buffolino enrolled in Medicare?

Yes. Nicco Buffolino is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicco Buffolino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicco Buffolino reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Nicco Buffolino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicco Buffolino was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.