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Individual provider Active NPI

Jessica Socha, D.O.

  • Hospitalist Physician
  • Brush, CO
National Provider Identifier
1477973014
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
56228 Issued in CT
Practice address
2400 Edison St
Brush, CO 80723-1640
Phone
(970) 842-6200
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 56228 CT Primary
Internal Medicine Physician 207R00000X DR.0071630 CO

Addresses

Primary practice location

2400 Edison St
Brush, CO 80723-1640

Mailing address

2009 Crestridge Dr
Loveland, CO 80537-7490
Phone (860) 996-4289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170825001852 CT Practitioner - Hospitalist 4880914787 Reassigns benefits to 1 organization
I20230817003858 CO Practitioner - Internal Medicine 4880914787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians

Practice addresses (Care Compare)

1501 E 3Rd St
Delta, CO 81416-2815
Phone (303) 390-1926

2400 Edison St
Brush, CO 80723-1640
Phone (303) 390-1926

5575 DTC Pkwy
Suite 225
Greenwood Village, CO 80111-3073

Hospital & facility affiliations

  • East Morgan County Hospital Hospital, Brush, CO, CCN 061303
  • Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001
  • East Morgan County Hospital Nursing home, CCN 06Z303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0071630COMDInternal Medicine Physician
56228CTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Aug 7, 2017 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Aug 7, 2017 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
East Morgan County Hospital Past Accepting new patients

Locations

2400 Edison St
Brush, CO 80723
Phone (970) 842-2833

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

Organizations & group practices 5

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1477973014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 CRESTRIDGE DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805377490",
            "telephone_number": "860-996-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 EDISON ST",
            "city": "BRUSH",
            "state": "CO",
            "postal_code": "807231640",
            "telephone_number": "970-842-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCHA",
        "first_name": "JESSICA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "56228",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0071630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brush, CO

Sources for this page

Verify at the official NPI Registry.