Rochelle Yvonne Elijah, M.D.
Individual provider Active NPI Family Medicine Physician · Pueblo, CO
NPI 1376504654 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1376504654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 37357 (CO)
- Practice address
- 3676 Parker Blvd
Pueblo, CO 81008-2212 - Phone
- (719) 553-2200
- Fax
- (719) 553-2216
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Rush Medical College of Rush University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Colorado Clinic PC
Practice addresses (Care Compare)
3676 Parker Blvd
Suite 290
Pueblo, CO 81008-2214
Phone (719) 553-2200
Hospital & facility affiliations
- Enhabit Home Health
- Frontier Home Health LLC
- Adoration Home Health
- Parkview Medical Center, Inc
- St Mary-Corwin Hospital
- St Thomas More Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040622000169 | CO | Practitioner - Family Practice |
1355254541 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37357 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Mobile Medical Suncrest Advanced Illness Management | Current |
Accepting new patients | |
| Southern Colorado Clinic PC | Current |
Accepting new patients | |
| Beacon Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
| Beacon Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
| Beacon Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
| Knox Winamac Community Health Centers, Inc | Family Medicine | Past | Accepting new patients |
Locations
5700 S Quebec St
Ste 310
Greenwood Village, CO 80111
Phone (720) 941-5580
5950 S Willow Dr
Ste 306
Greenwood Village, CO 80111
Phone (720) 941-5580
3676 Parker Blvd
Ste 370
Pueblo, CO 81008
Phone (719) 553-2209
3676 Parker Blvd
Pueblo, CO 81008
Phone (719) 253-7000
3676 Parker Blvd
Ste 290
Pueblo, CO 81008
Phone (719) 553-2200
3676 Parker Blvd
Ste 260
Pueblo, CO 81008
Phone (719) 553-2201
206 N 2100 W
Ste 202
Slc, UT 84116
Phone (801) 325-0175
Interoperability endpoints
- rochelle.elijah.1@21306.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 37357 | CO | Yes |
Addresses
Primary practice location
3676 Parker Blvd
Pueblo, CO 81008-2212
Mailing address
PO Box 9000
Pueblo, CO 81008-9000
Phone (719) 553-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64928730 | Medicaid | CO |
Other providers in Pueblo, CO
- Elevate Healthcare Lab LLC
- Elevate Healthcare LLC
- Elevate Healthcare LLC
- Elevate Healthcare LLC Labs
- Elevate Mental Wellness, LLC
- Elite Therapy and Wellness Center, Inc.
- Elizabeth Behm, LLC
- Elizabeth Yaeger
- Carol Elizondo Hill
- Emily Eller
All providers in Pueblo, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.