NPIMap

Individual provider Active NPI

Elizabeth Eun Hae Rice De, MD

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1194935023
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0050165 Issued in CO
Practice address
100 Cook St Ste 310
Denver, CO 80206-5339
Phone
(303) 372-4010
Fax
(303) 372-4011
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0050165 CO Primary
Hospitalist Physician 208M00000X 68196 GA

Addresses

Primary practice location

100 Cook St Ste 310
Denver, CO 80206-5339

Mailing address

6325 Hospital Pkwy
Johns Creek, GA 30097-5775
Phone (678) 474-7388

Other practice location 1

311 Steele St
Denver, CO 80206-4479
Phone (303) 372-4010

Other identifiers 1

IdentifierTypeStateIssuer
55085768MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110917000012 CO Practitioner - Internal Medicine 3072659929 Reassigns benefits to 1 organization
I20120730000615 GA Practitioner - Internal Medicine 3072659929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

22 S Adams St
Denver, CO 80209-2908
Phone (303) 321-2452

311 Steele St
Denver, CO 80206-4414
Phone (303) 372-4010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0050165COMDInternal Medicine Physician
68196GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Apr 8, 2019 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Pandya Medical Center, Inc CurrentSince Oct 1, 2016 Accepting new patients
The Emory Clinic Inc Internal Medicine CurrentSince Aug 1, 2012 Accepting new patients
National Primary Care Network, PA Hospitalist Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

100 Cook St
Ste 202
Denver, CO 80206
Phone (720) 516-9413

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

100 Cook St
Ste 310
Denver, CO 80206
Phone (720) 516-9160

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

3970 Dep Bill Cantrell Memorial Rd
Ste 220
Cumming, GA 30040
Phone (678) 984-3151

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

3925 Johns Creek Ct
Ste A
Suwanee, GA 30024
Phone (678) 474-4742

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8348/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1194935023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 HOSPITAL PKWY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975775",
            "telephone_number": "678-474-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COOK ST STE 310",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065339",
            "telephone_number": "303-372-4010",
            "fax_number": "303-372-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Steele St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802064479",
            "country_code": "US",
            "telephone_number": "303-372-4010",
            "fax_number": "303-372-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE",
        "first_name": "ELIZABETH",
        "middle_name": "EUN HAE RICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0050165",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "68196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55085768",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.