Individual provider Active NPI

Elaine Stephanie Rusin, M.D.

  • Family Medicine Physician
  • Louisville, CO
National Provider Identifier
1306150370
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CO-51838 Issued in CO
Practice address
100 Health Park Dr
Louisville, CO 80027-9583
Phone
(720) 330-3937
NPI assigned
Aug 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CO-51838 CO Primary
Hospitalist Physician 208M00000X CO-51838 CO

Addresses

Primary practice location

100 Health Park Dr
Louisville, CO 80027-9583

Mailing address

5450 Western Ave
Boulder, CO 80301-2709
Phone (303) 415-7610

Other practice location 1

4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 415-7610

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131111000373 CO Practitioner - Family Practice 0244466738 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

100 Health Park Dr
Louisville, CO 80027-9583
Phone (303) 643-1159

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 415-7610

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CO-51838COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System Hospitalist CurrentSince Jul 1, 2015 Accepting new patients
Portercare Adventist Health System CurrentSince Jul 1, 2015 Accepting new patients
Inpatient Services, PC Family Medicine CurrentSince Jul 27, 2014 Accepting new patients
Inpatient Services, PC Family Medicine CurrentSince Jul 27, 2014 Accepting new patients
Boulder Community Health Current Accepting new patients
Boulder Community Health CurrentSince Aug 15, 2017 Accepting new patients
Boulder Community Health CurrentSince Aug 15, 2017 Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

5450 Western Ave
Boulder, CO 80301
Phone (303) 415-4770

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

Interoperability endpoints

  • Direct secure messaging: erusin1854239@adventhealth.direct-ci.com

Organizations & group practices 9

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 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306150370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 WESTERN AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012709",
            "telephone_number": "303-415-7610",
            "fax_number": "303-415-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTH PARK DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279583",
            "telephone_number": "720-330-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4747 Arapahoe Ave",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803031131",
            "country_code": "US",
            "telephone_number": "303-415-7610",
            "fax_number": "303-415-7618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSIN",
        "first_name": "ELAINE",
        "middle_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CO-51838",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "CO-51838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.