Provider Demographics
NPI:1992708663
Name:ARIAS, JOSE M (MD)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:M
Last Name:ARIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 172263
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-2263
Mailing Address - Country:US
Mailing Address - Phone:888-987-7975
Mailing Address - Fax:405-792-8910
Practice Address - Street 1:799 E HAMPDEN AVE STE 310
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2766
Practice Address - Country:US
Practice Address - Phone:720-441-4021
Practice Address - Fax:720-360-1195
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY35955207T00000X, 207T00000X
CODR.0072591207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000388452OtherANTHEM
IN200267660AMedicaid
KY64018229Medicaid
IN202280BMedicare PIN
IN200267660AMedicaid
KY64018229Medicaid
H18468Medicare UPIN
KY649908Medicare PIN