Organization Active NPI

Rarediseasedoc

  • Clinical Genetics (M.D.) Physician
  • Aurora, CO
National Provider Identifier
1235994104
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
Legal business name
RAREDISEASEDOC
Doing business as
RareDiseaseDoc
Practice address
28013 E Nova PL
Aurora, CO 80016-7437
Phone
(301) 379-2275
Fax
(720) 580-5613
NPI assigned
Feb 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Dr. Jessica Bulbin Duis, MDNPI 1235428426
Title
Owner, Medical Director
Phone
(301) 379-2275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0000X
Clinical Genetics (M.D.) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SG0201X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Genetics Clinic/Center 261QG0250X

Addresses

Primary practice location

28013 E Nova PL
Aurora, CO 80016-7437

Mailing address

28013 E Nova PL
Aurora, CO 80016-7437
Phone (301) 379-2275

Other names 1

  • RareDiseaseDoc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240905002326 CO Part B Supplier - Clinic/Group Practice 6507306552 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1235994104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28013 E NOVA PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800167437",
            "telephone_number": "301-379-2275",
            "fax_number": "720-580-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28013 E NOVA PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800167437",
            "telephone_number": "301-379-2275",
            "fax_number": "720-580-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAREDISEASEDOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "DUIS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "BULBIN",
        "authorized_official_title_or_position": "OWNER, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-379-2275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RareDiseaseDoc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RareDiseaseDoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.