NPIMap

Individual provider Active NPI

Timothy James Eldridge, M.D.

  • Internal Medicine Physician
  • Aurora, CO
National Provider Identifier
1447455852
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
49243 Issued in CO
Practice address
1080 S Sable Blvd
Aurora, CO 80012-3796
Phone
(303) 552-9577
Fax
(415) 252-7176
NPI assigned
Jun 15, 2007
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49243 CO Primary

Addresses

Primary practice location

1080 S Sable Blvd
Aurora, CO 80012-3796

Mailing address

1080 S Sable Blvd
Aurora, CO 80012-3796
Phone (303) 552-9577

Other practice location 1

1375 E 20th Ave
Denver, CO 80205-5422
Phone (303) 338-4545

Other identifiers 3

IdentifierTypeStateIssuer
028509OtherCOKAISER COMMERCIAL NUMBER
49243OtherCOSTATE LICENSE NUMBER
58733256MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130000364 CO Practitioner - Internal Medicine 8729274964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iora Health Colorado, P.C.Group PAC ID 8426323114, 42 clinicians

Practice addresses (Care Compare)

8175 Sheridan Blvd
Unit N
Arvada, CO 80003-1928
Phone (303) 557-0855

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49243COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Colorado, P.C. Internal Medicine CurrentSince Feb 8, 2021 Accepting new patients
Iora Health Colorado, P.C. Internal Medicine CurrentSince Feb 8, 2021 Accepting new patients
Iora Health, LLC Internal Medicine Past Accepting new patients
Iora Health Massachusetts, P.C. Internal Medicine Past Accepting new patients

Locations

8175 Sheridan Blvd
Unit N
Arvada, CO 80003
Phone (303) 557-0855

1080 S Sable Blvd
Aurora, CO 80012
Phone (303) 552-9577

1080 S Sable Blvd
Unit 18
Aurora, CO 80012
Phone (303) 552-9577

101 Tremont St
Fl 6
Boston, MA 02108

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1447455852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 S SABLE BLVD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123796",
            "telephone_number": "303-552-9577",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 S SABLE BLVD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123796",
            "telephone_number": "303-552-9577",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1375 E 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802055422",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "49243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "028509",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "49243",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58733256",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.