Vassily T Eliopoulos, MD
Individual provider Active NPI Emergency Medicine Physician · Superior, CO
NPI 1215149463 · NPPES record last updated Nov 12, 2024
Key facts
- NPI
- 1215149463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 50371 (CO)
- Practice address
- 3 Superior Dr Ste 225
Superior, CO 80027-8661 - Phone
- (303) 414-2083
- Fax
- (303) 414-2042
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50371 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Plus LLC | Emergency Medicine | Past | Accepting new patients |
| Cape Cod Emergency Associates LLP | Emergency Medicine | Past |
Accepting new patients |
| Cape Cod Emergency Associates, LLC | Emergency Medicine | Past | Accepting new patients |
| Maimonides Medical Center - MMC Emergency Physicians FPP | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 50371 | CO | Yes |
Addresses
Primary practice location
3 Superior Dr Ste 225
Superior, CO 80027-8661
Mailing address
3 Superior Dr Ste 225
Superior, CO 80027-8661
Phone (303) 414-2083
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24551830 | Medicaid | CO | |
| 20326023101 | Other | PACIFICARE SECURE HORIZONS | |
| 605960009 | Other | WY | USDLAB |
| P01075423 | Other | RR MEDICARE | |
| 1215149463 | Medicaid | WY | |
| 315252 | Other | WY | BSWY |
Other providers in Superior, CO
- Dawa Dolma
- Harma A Drenth
- Dudleysuperior PLLC
- Jocelyn Duff
- Morgann Dulle
- Jon Michael Erickson
- Deanna Jill Estes
- Elizabeth Evans
- Stacey Fair
- Tammy Faircloth
All providers in Superior, CO · Emergency Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.