Individual provider Active NPI

Michelle M Draeb, M.D.

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1043355241
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33970 Issued in CO
Practice address
1700 Marion Street
Denver, CO 80218-1121
Phone
(303) 830-6666
Fax
(303) 830-7099
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33970 CO Primary

Addresses

Primary practice location

1700 Marion Street
Denver, CO 80218-1121

Mailing address

1700 Marion Street
Denver, CO 80218-1121
Phone (303) 830-6666

Other identifiers 2

IdentifierTypeStateIssuer
01339704MedicaidCO
080187362OtherCOMEDICARE ID TYPE UNS

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
I20120416000447 CO Practitioner - Family Practice 0840451043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uptown Community Health Center IncGroup PAC ID 4183090152, 31 clinicians

Practice addresses (Care Compare)

1960 N Ogden St
460 Bruner Family Medicine
Denver, CO 80218-3670
Phone (303) 318-2500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33970COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Community Health Center Inc CurrentSince Nov 15, 2022 Accepting new patients
Uptown Community Health Center Inc CurrentSince Nov 15, 2022 Accepting new patients
Uptown Community Health Center Inc Family Medicine Current Accepting new patients
Uptown Community Health Center Inc Past Accepting new patients

Locations

1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500

Interoperability endpoints

  • Direct secure messaging: mdraeb3953@direct.intermountainhealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1043355241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MARION STREET",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181121",
            "telephone_number": "303-830-6666",
            "fax_number": "303-830-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MARION STREET",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181121",
            "telephone_number": "303-830-6666",
            "fax_number": "303-830-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAEB",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "33970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01339704",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNS",
            "identifier": "080187362",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.