Individual provider

Brian Fonseca, MD

Pediatric Cardiology Physician Medicare enrolled

Brian Fonseca, MD is a Pediatric Cardiology Physician in Aurora, CO, registered under NPI 1356469316.

Getting there

The practice address on file is 13123 E 16TH AVE, Aurora, CO 80045. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

13123 E 16TH AVE, Aurora, CO 80045 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
46774 CO Pediatric Cardiology Physician primary

This provider holds licence 46774 issued in CO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Cardiovascular Disease (cardiology)
PAC ID
7517860174

Enrolled in Medicare 3 times, across 3 states:

StateEnrollment IDProvider type
Colorado I20081222000555 Practitioner - Cardiovascular Disease (cardiology)
New Mexico I20221116000421 Practitioner - Cardiovascular Disease (cardiology)
Wyoming I20230103002749 Practitioner - Cardiovascular Disease (cardiology)

Medicare enrolment is recorded as approved under the provider type Practitioner - Cardiovascular Disease (cardiology). There are 3 separate enrolment records across 3 states (CO, NM, WY). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pediatric Cardiology covers

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. NUCC Health Care Provider Taxonomy, code 2080P0202X
Allopathic & Osteopathic Physicians Pediatrics Pediatric Cardiology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1356469316 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 27, 2007
Last updatedJan 31, 2013
StatusActive
Sole proprietorNo
CredentialMD
Practice address 13123 E 16TH AVE
Aurora, CO 80045
(720) 777-1234
Mailing address PO BOX 110429
Aurora, CO 80042
Other identifiers 65637071 · Medicaid (CO)
This record was last updated on Jan 31, 2013, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1356469316 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 5 6 4 6 9 3 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 1 6 8 6 9 3 2

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1356469316?
NPI 1356469316 is the National Provider Identifier assigned to Brian Fonseca, MD in Aurora, CO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Cardiology cover?
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
How do I contact Brian Fonseca, MD?
The phone number on file with NPPES is (720) 777-1234, last updated Jan 31, 2013. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Brian Fonseca, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1356469316 a valid number?
Yes. 1356469316 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.