Individual provider Active NPI

Aline Sabrina Rau, MB BCH BAO

  • Plastic Surgery Physician
  • Greenwood Village, CO
National Provider Identifier
1619276490
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
DR.0060978 Issued in CO
Practice address
6200 S Syracuse Way Ste 260
Greenwood Village, CO 80111-4739
Phone
(303) 381-0919
NPI assigned
Mar 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X DR.0060978 CO Primary

Addresses

Primary practice location

6200 S Syracuse Way Ste 260
Greenwood Village, CO 80111-4739

Mailing address

6200 S Syracuse Way Ste 260
Greenwood Village, CO 80111-4739
Phone (303) 381-0919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120910000713 MD Order and Referring Only - General SurgeryPractitioner - General Surgery 3870741200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DR.0060978COMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1300579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1619276490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 S SYRACUSE WAY STE 260",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114739",
            "telephone_number": "303-381-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 S SYRACUSE WAY STE 260",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114739",
            "telephone_number": "303-381-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAU",
        "first_name": "ALINE",
        "middle_name": "SABRINA",
        "name_prefix": "Dr.",
        "credential": "MB BCH BAO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-20",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "DR.0060978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.