Adrienne Ide, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0061348 Issued in CO

Practice address

1411 S Potomac St Ste 300
Aurora, CO 80012-4539

Phone

(303) 531-4910

Fax

(303) 309-3733

NPI assigned

Apr 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Rocky Vista University College of Osteopathic Med, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Cornerstone Family Practice PCGroup PAC ID 1759272529, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Cornerstone Family Practice PC

  • Family Medicine Physician
  • Aurora, CO
  • NPI 1386849065
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1356875603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16623 CONCOLOR PL",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343999",
            "telephone_number": "218-348-1700",
            "fax_number": "303-309-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST STE 300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124539",
            "telephone_number": "303-531-4910",
            "fax_number": "303-309-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDE",
        "first_name": "ADRIENNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0061348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Icare Home Health Agency LLC
• Icare Homehealth LLC (Pure Care Home Health)
• Icon Ride LLC (Icon Ride)
• Alleson Ida, NP
• Vera A Idam
• Idea-Aurora
• Ideal Support Services, Inc.
• Anil Joseph Idiculla, D.M.D.
• Shaquia Lashe Idlett-Ali, MD PHD
• Efemena Maureen Idowu, PMHNP

• Family Medicine Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.