Provider Demographics
NPI:1922060185
Name:ASOLATI, MASSIMO (MD)
Entity Type:Individual
Prefix:
First Name:MASSIMO
Middle Name:
Last Name:ASOLATI
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 1:8490 E CRESCENT PKWY STE 380
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2815
Mailing Address - Country:US
Mailing Address - Phone:303-957-1310
Mailing Address - Fax:303-761-4252
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:SUITE 5500
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1216
Practice Address - Country:US
Practice Address - Phone:303-777-7112
Practice Address - Fax:303-722-0201
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO53997208600000X, 204F00000X
TXL7968208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO67405517Medicaid
TX8V8581OtherBCBSTX
TX166461703Medicaid
TX166461701Medicaid
TX166461704Medicaid
CO355036YNSTMedicare UPIN
TX166461701Medicaid
I09614Medicare UPIN
TX166461703Medicaid
TX8L17219Medicare PIN