Active NPI
Steven Chae, MD
- Family Medicine Physician
- Aurora, CO
National Provider Identifier
1104930528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40716
- Practice address
- 12510 E Iliff Ave
Ste 210
Aurora, CO 80014-6376 - Phone
- (303) 695-1977
- Fax
- (303) 695-1975
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40716 | CO | Primary |
Addresses
Primary practice location
12510 E Iliff Ave
Ste 210
Aurora, CO 80014-6376
Mailing address
12510 E Iliff Ave
Ste 210
Aurora, CO 80014-6376
Phone (303) 695-1977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23577762 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5168 Village Creek Dr
Suite 300
Plano, TX 75093-4447
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Celine Medical Spa | Current | Accepting new patients | |
| SC Family Clinic, PLLC | Current | Accepting new patients | |
| Family Practice of Aurora PC | Family Medicine | Past | Accepting new patients |
Locations
5168 Village Creek Dr
Ste 300
Plano, TX 75093
Phone (214) 789-2096
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Plano, TX
- NPI 1972454064
-
- Family Medicine Physician
- Aurora, CO
- NPI 1043238777
-
- Primary Care Clinic/Center
- Plano, TX
- NPI 1457210841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104930528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12510 E ILIFF AVE",
"address_2": "STE 210",
"city": "AURORA",
"state": "CO",
"postal_code": "800146376",
"telephone_number": "303-695-1977",
"fax_number": "303-695-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12510 E ILIFF AVE",
"address_2": "STE 210",
"city": "AURORA",
"state": "CO",
"postal_code": "800146376",
"telephone_number": "303-695-1977",
"fax_number": "303-695-1975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAE",
"first_name": "STEVEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "40716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "23577762",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.