Active NPI
Rarediseasedoc
- Clinical Genetics (M.D.) Physician
- Aurora, CO
National Provider Identifier
1235994104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jessica Bulbin Duis, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | |||
| Clinical Genetics (M.D.) Physician | 207SG0201X | Primary | ||
| Pediatrics Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Genetics (M.D.) Physician
- Aurora, CO
- NPI 1235428426
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.