Active NPI
Yvonne Miya Bodemann, DO
- Internal Medicine Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 56311
- Practice address
- 835 E 18TH Ave Ste 110
Denver, CO 80218 - Phone
- (303) 825-4646
- Fax
- (303) 825-3215
- NPI assigned
- Jun 26, 2014
- Last updated
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 56311 | CO | Primary |
| Hospitalist Physician | 208M00000X | 56311 | CO |
Addresses
Primary practice location
835 E 18TH Ave Ste 110
Denver, CO 80218
Mailing address
5920 McIntyre St
Golden, CO 80403-7445
Phone (720) 434-4876
Other practice location 1
835 E 18th Ave Ste 110
Denver, CO 80218-1024
Phone (303) 825-4646
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000148552 | Medicaid | CO | |
| 029133 | Other | CO | KAISER COMMERCIAL NUMBER |
Other names 1
- Yvonne Choe
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (303) 338-4545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56311 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Permanente Medical Group, P.C. | Internal Medicine | Current | Accepting new patients |
Locations
10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350
200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110
10101 Ridgegate Pkwy
#One
Lone Tree, CO 80124
Interoperability endpoints
- ybodemann@yourcarecommunity.org
Organizations & group practices 1
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.
-
dba CPMG
- Internal Medicine Physician
- Denver, CO
- NPI 1760599724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1447665575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 MCINTYRE ST",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804037445",
"telephone_number": "720-434-4876",
"fax_number": "303-225-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 E 18TH AVE STE 110",
"city": "DENVER",
"state": "CO",
"postal_code": "80218",
"telephone_number": "303-825-4646",
"fax_number": "303-825-3215"
}
],
"practiceLocations": [
{
"address_1": "835 E 18th Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802181024",
"country_code": "US",
"telephone_number": "303-825-4646",
"fax_number": "303-825-3215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BODEMANN",
"first_name": "YVONNE",
"middle_name": "MIYA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "56311",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CO",
"license": "56311",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000148552",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "029133",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YVONNE",
"last_name": "CHOE",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.