Active NPI
Susan V. Yue, M.D.
- Nephrology Physician
- Westminster, CO
National Provider Identifier
1154312643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 42570
- Practice address
- 8410 Decatur Street
Westminster, CO 80031-3811 - Phone
- (303) 430-7000
- Fax
- (303) 430-1506
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 42570 | CO | Primary |
Addresses
Primary practice location
8410 Decatur Street
Westminster, CO 80031-3811
Mailing address
4891 Independence St
Suite 120
Wheat Ridge, CO 80033-6752
Phone (303) 456-7495
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00134758 | Other | CO | RR MEDICARE |
| 96389541 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42570 | CO | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Nephrology & Metabolic Bone Disease, P.C. | Nephrology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACHACA
Organizations & group practices 1
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.
-
- Nephrology Physician
- Arvada, CO
- NPI 1134734486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1154312643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4891 INDEPENDENCE ST",
"address_2": "SUITE 120",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336752",
"telephone_number": "303-456-7495",
"fax_number": "303-456-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8410 DECATUR STREET",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800313811",
"telephone_number": "303-430-7000",
"fax_number": "303-430-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUE",
"first_name": "SUSAN",
"middle_name": "V.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CO",
"license": "42570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00134758",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "96389541",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.