NPIMap

Individual provider Active NPI

Teresa Cushman, M.D.

  • Infectious Disease Physician
  • Wheat Ridge, CO
National Provider Identifier
1063775005
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
0056997 Issued in CO
Practice address
3885 Upham St Ste 200
Wheat Ridge, CO 80033
Phone
(303) 425-9245
Fax
(303) 425-1378
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 0056997 CO Primary

Addresses

Primary practice location

3885 Upham St Ste 200
Wheat Ridge, CO 80033

Mailing address

3885 Upham St Ste 200
Wheat Ridge, CO 80033-4800
Phone (303) 425-9245

Other practice location 1

4077 Fifth Ave. MER 35
San Diego, CA 92103
Phone (619) 314-7028

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tcushman@widc.careclouddirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151030001532 CA Practitioner - Internal Medicine 5890005045 Reassigns benefits to 1 organization
I20190529002500 CO Practitioner - Infectious Disease 5890005045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Texas Medical Branch at Galveston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western Infectious Disease Consultants, P.C.Group PAC ID 6305736786, 13 clinicians

Practice addresses (Care Compare)

3885 Upham St
Suite 200
Wheat Ridge, CO 80033-4800
Phone (303) 425-9245

Hospital & facility affiliations

  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015
  • Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009
  • HCA Healthone Mountain Ridge Hospital, Thornton, CO, CCN 060065
  • Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0056997COMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation Single Specialty CurrentSince Aug 30, 2015 Accepting new patients
Western Infectious Disease Consultants, P.C. Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Western Infectious Disease Consultants, P.C. Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Western Infectious Disease Infusion Center, Inc Single Specialty Past Accepting new patients

Locations

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4077 5th Ave
#35
San Diego, CA 92103
Phone (619) 260-7220

3303 W 144th Ave
Unit 103
Broomfield, CO 80023
Phone (303) 425-9245

1536 Cole Blvd
Ste 120
Lakewood, CO 80401
Phone (303) 423-8334

3885 Upham St
Ste 200
Wheat Ridge, CO 80033
Phone (303) 425-9245

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1063775005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 UPHAM ST STE 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334800",
            "telephone_number": "303-425-9245",
            "fax_number": "303-425-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 UPHAM ST STE 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-425-9245",
            "fax_number": "303-425-1378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4077 Fifth Ave. MER 35",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92103",
            "country_code": "US",
            "telephone_number": "619-314-7028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSHMAN",
        "first_name": "TERESA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CO",
            "license": "0056997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcushman@widc.careclouddirect.com",
            "affiliation": "N",
            "endpointDescription": "TCushman WIDC Direct Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "3885 Upham St Ste 200",
            "city": "Wheat Ridge",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.