Active NPI
Suzanne Essengue Belibi, M.D.
- Pediatric Allergy/Immunology Physician
- Aurora, CO
National Provider Identifier
1265558571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Allergy/Immunology Physician
- License
- 46240
- Practice address
- 3191 S Vaughn Way Ste 101
Aurora, CO 80014-3505 - Phone
- (303) 755-4600
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 46240 | CO | |
| Pediatric Allergy/Immunology Physician | 2080P0201X | 46240 | CO | Primary |
Addresses
Primary practice location
3191 S Vaughn Way Ste 101
Aurora, CO 80014-3505
Mailing address
3191 S Vaughn Way Ste 101
Aurora, CO 80014-3505
Phone (303) 755-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87872269 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | updox | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46240 | CO | MD | Pediatric Allergy/Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Health Pharmacy | Current | Accepting new patients | |
| Grace Health Clinic | Current | Accepting new patients | |
| Grace Health Pharmacy | Current | Accepting new patients | |
| Grace Clinic Laboratory | Past | Accepting new patients | |
| Grace Medical Supplies LTD | Past | Accepting new patients |
Locations
3191 S Vaughn Way
Aurora, CO 80014
Phone (303) 495-5047
3191 S Vaughn Way
Unit 101
Aurora, CO 80014
3191 S Vaughn Way
Ste 101
Aurora, CO 80014
Phone (303) 343-4600
10 S Havana St
Ste 103
Aurora, CO 80012
Phone (303) 343-4600
Organizations & group practices 5
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.
-
- Health Service Clinic/Center
- Aurora, CO
- NPI 1275864449
-
- Long Term Care Pharmacy
- Aurora, CO
- NPI 1336823566
-
- Community/Retail Pharmacy
- Aurora, CO
- NPI 1366889115
-
- Clinical Medical Laboratory
- Aurora, CO
- NPI 1205234085
-
- Durable Medical Equipment & Medical Supplies
- Aurora, CO
- NPI 1124425871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1265558571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3191 S VAUGHN WAY STE 101",
"city": "AURORA",
"state": "CO",
"postal_code": "800143505",
"telephone_number": "303-755-4600",
"fax_number": "303-745-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3191 S VAUGHN WAY STE 101",
"city": "AURORA",
"state": "CO",
"postal_code": "800143505",
"telephone_number": "303-755-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSENGUE BELIBI",
"first_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "CO",
"license": "46240",
"primary": false
},
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "CO",
"license": "46240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "87872269",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "updox",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "updox",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "updox",
"address_1": "3191 S Vaughn Way Ste 101",
"city": "Aurora",
"state": "CO",
"country_code": "US",
"postal_code": "800143505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.