Individual provider Active NPI

Rima S Berchane, MD

  • Internal Medicine Physician
  • Aurora, CO
National Provider Identifier
1407916034
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53272 Issued in CO
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

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200813650MedicaidIN
P01048180OtherINRAILROAD MEDICARE
P00303200OtherINRAILROAD 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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53272COMDInternal Medicine Physician
01060371AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Mar 1, 2014 Accepting new patients
Portercare Adventist Health System CurrentSince Mar 1, 2014 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.

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

Verify at the official NPI Registry.