Individual provider Active NPI

Rebecca L Wiebe, M.D.

  • Surgery Physician
  • Wheat Ridge, CO
National Provider Identifier
1003923301
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0038548 Issued in CO
Practice address
3555 Lutheran Pkwy
Suite 380
Wheat Ridge, CO 80033-6021
Phone
(303) 940-8200
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 38548 CO
Surgery Physician 208600000X DR.0038548 CO Primary

Addresses

Primary practice location

3555 Lutheran Pkwy
Suite 380
Wheat Ridge, CO 80033-6021

Mailing address

3555 Lutheran Pkwy
Suite 380
Wheat Ridge, CO 80033-6021
Phone (303) 940-8200

Other identifiers 2

IdentifierTypeStateIssuer
46936084MedicaidCO
020047061OtherCOMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206001125 CO Practitioner - General Surgery 3274599725 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of New Mexico School of Medicine, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6165 Flattop St
Golden, CO 80403-2178

6870 W 52ND Ave
Suite 102
Arvada, CO 80002-3952

Hospital & facility affiliations

  • Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009

Merit-based Incentive Payment System (MIPS)

Final score
87.22 of 100Reported as group
Quality
80.56
Improvement activities
40
Cost
93.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38548COMDSpecialist
DR.0038548COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Trauma Services PC Surgery CurrentSince Jul 11, 2010 Accepting new patients
Colorado Surgical Service PC Surgery CurrentSince Jul 11, 2010 Accepting new patients
Colorado Surgical Service PC Surgery CurrentSince Jul 11, 2010 Accepting new patients
Kremmling Memorial Hospital District CurrentSince Aug 27, 2014 Accepting new patients
Colorado Trauma Services PC CurrentSince Jul 11, 2010 Accepting new patients
Kremmling Memorial Hospital District CurrentSince Aug 27, 2014 Accepting new patients
Colorado Surgical Service PC Surgery Past Accepting new patients
Intermountain Front Range, Inc. Past Accepting new patients

Locations

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

400 Indiana St
Ste 200
Golden, CO 80401
Phone (303) 467-1400

4350 Wadsworth Blvd
Ste 401
Wheat Ridge, CO 80033
Phone (720) 996-0780

3555 Lutheran Pkwy
Ste 380
Wheat Ridge, CO 80033
Phone (303) 595-2700

3455 Lutheran Pkwy
Ste 290
Wheat Ridge, CO 80033
Phone (303) 467-1400

Interoperability endpoints

  • Direct secure messaging: ssoc@1308.direct.myezyaccess.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1003923301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY",
            "address_2": "SUITE 380",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336021",
            "telephone_number": "303-940-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY",
            "address_2": "SUITE 380",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336021",
            "telephone_number": "303-940-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBE",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "38548",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0038548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46936084",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "020047061",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.