NPIMap

Organization Active NPI

Colorado Infectious Disease Associates, LLP

  • Infectious Disease Physician
  • Denver, CO
National Provider Identifier
1124023981
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
COLORADO INFECTIOUS DISEASE ASSOCIATES, LLP
Practice address
950 E Harvard Ave
Suite 140
Denver, CO 80210-7009
Phone
(303) 777-0781
Fax
(303) 777-0786
NPI assigned
Jun 17, 2005
Last updated
Nov 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Ms. Amanda E Brodnax
Title
Practice Manager
Phone
(303) 777-0781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

950 E Harvard Ave
Suite 140
Denver, CO 80210-7009

Mailing address

950 E Harvard Ave
Suite 140
Denver, CO 80210-7009
Phone (303) 777-0781

Other identifiers 1

IdentifierTypeStateIssuer
04768040MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://login.corhio.org/ Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316000419 CO Part B Supplier - Clinic/Group Practice 3870483845 Receives reassigned benefits from 15 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

950 E Harvard Ave
Ste 140
Denver, CO 80210
Phone (303) 777-0781

950 E Harvard Ave
Ste 670
Denver, CO 80210

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15913/brand/10/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1124023981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E HARVARD AVE",
            "address_2": "SUITE 140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802107009",
            "telephone_number": "303-777-0781",
            "fax_number": "303-777-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E HARVARD AVE",
            "address_2": "SUITE 140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802107009",
            "telephone_number": "303-777-0781",
            "fax_number": "303-777-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO INFECTIOUS DISEASE ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "BRODNAX",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "303-777-0781",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04768040",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://login.corhio.org/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CONNECT URL",
            "address_1": "950 E Harvard Ave",
            "address_2": "Suite 140",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802107009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 10, 2023; 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.