NPIMap

Organization Active NPI

Infectious Disease Consult

  • Infectious Disease Physician
  • Denver, CO
National Provider Identifier
1194702084
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE CONSULT
Practice address
1601 E 19TH Ave Ste 3700
Denver, CO 80218-1220
Phone
(303) 831-4774
Fax
(303) 839-7750
NPI assigned
Dec 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Dr. Raymond N. Blum, M.D.
Title
M.D.
Phone
(303) 831-4774

Specialties & licenses 1

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

Addresses

Primary practice location

1601 E 19TH Ave Ste 3700
Denver, CO 80218-1220

Mailing address

1601 E 19TH Ave Ste 3700
Denver, CO 80218-1220
Phone (303) 831-4774

Other identifiers 2

IdentifierTypeStateIssuer
01263235MedicaidCO
26323OtherCOLICENSE

Other names 1

  • Infectious Disease Consultants Other name

National Provider Directory

National Provider Directory
Tax ID family
Infectious Disease Consultants4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1194702084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 3700",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181220",
            "telephone_number": "303-831-4774",
            "fax_number": "303-839-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 3700",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181220",
            "telephone_number": "303-831-4774",
            "fax_number": "303-839-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONSULT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "303-831-4774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01263235",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "26323",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infectious Disease Consultants",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.