Active NPI
Rima S Berchane, MD
- Internal Medicine Physician
- Aurora, CO
National Provider Identifier
1407916034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 53272
- Practice address
- 6240 S Main St
Suite 255
Aurora, CO 80016-5376 - Phone
- (303) 928-7555
- Fax
- (303) 928-7560
- NPI assigned
- Dec 12, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01060371A | IN | |
| Internal Medicine Physician | 207R00000X | 53272 | CO | Primary |
Addresses
Primary practice location
6240 S Main St
Suite 255
Aurora, CO 80016-5376
Mailing address
6240 S Main St
Suite 255
Aurora, CO 80016-5376
Phone (303) 928-7555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200813650 | Medicaid | IN | |
| P01048180 | Other | IN | RAILROAD MEDICARE |
| P00303200 | Other | IN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53272 | CO | MD | Internal Medicine Physician |
| 01060371A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients |
Locations
6240 S Main St
Ste 255
Aurora, CO 80016
Phone (303) 928-7555
Organizations & group practices 3
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.
-
dba Centura Health Physician Group Southlands Primary Care
- Family Medicine Physician
- Aurora, CO
- NPI 1316277916
-
dba Affiliated Ear, Nose & Throat Physicians
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
dba AdventHealth Medical Group Urology at Lakewood
- Urology Physician
- Lakewood, CO
- NPI 1942165626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1407916034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6240 S MAIN ST",
"address_2": "SUITE 255",
"city": "AURORA",
"state": "CO",
"postal_code": "800165376",
"telephone_number": "303-928-7555",
"fax_number": "303-928-7560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6240 S MAIN ST",
"address_2": "SUITE 255",
"city": "AURORA",
"state": "CO",
"postal_code": "800165376",
"telephone_number": "303-928-7555",
"fax_number": "303-928-7560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERCHANE",
"first_name": "RIMA",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01060371A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "53272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200813650",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01048180",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00303200",
"state": "IN"
}
],
"endpoints": [],
"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 Jan 28, 2014; 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.