Organization Active NPI

Elena Anisimova, MD, PC

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1073784096
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41995 Issued in CO
Legal business name
ELENA ANISIMOVA, MD, PC
Practice address
1260 S Parker Rd # 201
Denver, CO 80231
Phone
(303) 802-5444
Fax
(303) 728-9872
NPI assigned
Mar 18, 2008
Last updated
Aug 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Mrs. Elena AnisimovaNPI 1770564437
Title
Medical Doctor
Phone
(303) 802-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 41995 CO Primary

Addresses

Primary practice location

1260 S Parker Rd # 201
Denver, CO 80231

Mailing address

1260 S Parker Rd # 201
Denver, CO 80231-8064
Phone (303) 802-5444

Other practice location 1

1655 Lafayette St
# 301
Denver, CO 80218-1500
Phone (303) 318-1960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401000159 CO Part B Supplier - Clinic/Group Practice 5496747255 Receives reassigned benefits from 3 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

1260 S Parker Rd
Ste 201
Denver, CO 80231
Phone (303) 522-0425

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16716/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1073784096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S PARKER RD # 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802318064",
            "telephone_number": "303-802-5444",
            "fax_number": "303-728-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S PARKER RD # 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80231",
            "telephone_number": "303-802-5444",
            "fax_number": "303-728-9872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1655 Lafayette St",
            "address_2": "# 301",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181500",
            "country_code": "US",
            "telephone_number": "303-318-1960",
            "fax_number": "303-318-1970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELENA ANISIMOVA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "ANISIMOVA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "303-802-5444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "41995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.