COURTNEY DOHERTY MD
NPI 1992649909
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since April 18, 2026PECOS Enrolled
12631 E 17TH AVE RM 6511, AURORA, CO 80045(303) 724-4620 Get Directions Write a Review

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Courtney Doherty Md NPPES

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

COURTNEY DOHERTY MD (NPI 1992649909) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992649909
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCOURTNEY DOHERTYCredential: MD
Location Address12631 E 17TH AVE RM 6511Aurora, CO 80045-2527
Mailing Address12631 E 17th Ave Rm 6511Aurora, CO 80045-2527 · (303) 724-4620
Sole ProprietorNo
Enumeration DateApril 18, 2026
NPPES CertifiedApril 18, 2026
NPI 1992649909 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 RM 6511, 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)

Courtney Doherty 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.

Other Providers at the Same Location NPPES

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 RM 6511
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 Courtney Doherty's NPI number?

The NPI number for Courtney Doherty is 1992649909. It was assigned to this individual provider in the NPPES registry on April 18, 2026.

Where is Courtney Doherty located?

Courtney Doherty practices at 12631 E 17th Ave Rm 6511, Aurora, CO 80045. The listed phone number is (303) 724-4620.

What is Courtney Doherty's specialty?

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

Is Courtney Doherty enrolled in Medicare?

Yes. Courtney Doherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Courtney Doherty was last updated on April 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.