NPIMap

Individual provider Active NPI

Sofyan Morshed Taleb Radaideh, MD

  • Hematology & Oncology Physician
  • Pueblo, CO
National Provider Identifier
1477711901
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
49587 Issued in CO
Practice address
3676 Parker Blvd Ste 350
Pueblo, CO 81008-2213
Phone
(719) 296-6000
Fax
(719) 545-1146
NPI assigned
May 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 49587 CO Primary

Addresses

Primary practice location

3676 Parker Blvd Ste 350
Pueblo, CO 81008-2213

Mailing address

7951 E Maplewood Ave Ste 300
Greenwood Village, CO 80111-4726
Phone (303) 930-7800

Other identifiers 1

IdentifierTypeStateIssuer
37557874MedicaidCO

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
I20110722000378 CO Practitioner - Hematology/Oncology 8921276650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Cancer Centers LLPGroup PAC ID 7012820533, 131 clinicians

Practice addresses (Care Compare)

11750 W 2ND Place
Suite 150
Lakewood, CO 80228-1724
Phone (303) 763-4020

1800 Williams St
Suite 200
Denver, CO 80218-1237
Phone (303) 388-4876

2312 N Nevada Ave
Suite 400
Colorado Springs, CO 80907-5320
Phone (719) 577-2555

3027 N Circle Dr
Colorado Springs, CO 80909-1179
Phone (719) 577-2555

8820 Huron St
Thornton, CO 80260-6805
Phone (303) 386-7622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.32 of 100Reported as apm
Quality
59.88
Promoting interoperability
72.04
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49587COMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Cancer Centers, LLP Hematology & Oncology CurrentSince Jul 1, 2011 Accepting new patients
Rocky Mountain Cancer Centers LLP Hematology & Oncology CurrentSince Jul 1, 2011 Accepting new patients
Khalid Chowdhury MD, PC PastSince Feb 12, 2013 Accepting new patients

Locations

3027 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 577-2555

1601 E 19th Ave
Ste 3000
Denver, CO 80218
Phone (303) 388-4876

7951 E Maplewood Ave
Ste 300
Greenwood Village, CO 80111
Phone (303) 930-7800

3676 Parker Blvd
Ste 350
Pueblo, CO 81008
Phone (719) 296-6000

525 W 15th St
Ste 200
Pueblo, CO 81003
Phone (719) 296-6000

Interoperability endpoints

  • Direct secure messaging: sofyan.radaideh@rmcc.ikm.direct-ci.com

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1477711901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 E MAPLEWOOD AVE STE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114726",
            "telephone_number": "303-930-7800",
            "fax_number": "303-930-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3676 PARKER BLVD STE 350",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082213",
            "telephone_number": "719-296-6000",
            "fax_number": "719-545-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADAIDEH",
        "first_name": "SOFYAN",
        "middle_name": "MORSHED TALEB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-31",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "49587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37557874",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.