Active NPI
Edward W Carriere Jr., MD
- Hospitalist Physician
- Englewood, CO
National Provider Identifier
1629064571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 30907
- Practice address
- 499 East Hampden
#320
Englewood, CO 80113-2793 - Phone
- (303) 781-8439
- Fax
- (303) 788-6115
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 30907 | CO | Primary |
Addresses
Primary practice location
499 East Hampden
#320
Englewood, CO 80113-2793
Mailing address
499 East Hampden
# 320
Englewood, CO 80113-2793
Phone (303) 781-8439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01309079 | Medicaid | CO |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100922000969 | CO | Practitioner - Internal Medicine | 8527042894 | Practice locations: Franktown, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in Shreveport, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2400 S Russellville Rd
Franktown, CO 80116-8557
Phone (303) 577-1900
Hospital & facility affiliations
- Heart of the Rockies Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.69 of 100
- Quality
- 71.4
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.82 of 100
- Quality
- 9.1
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 43.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30907 | CO | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Aesthetic Medicine, LLC | Past | Accepting new patients | |
| Inpatient Medicine Service PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Franktown, CO
- NPI 1588055255
-
- Internal Medicine Physician
- Englewood, CO
- NPI 1881680734
Hospital & facility affiliations 1
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": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1629064571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 EAST HAMPDEN",
"address_2": "# 320",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132793",
"telephone_number": "303-781-8439",
"fax_number": "303-788-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 EAST HAMPDEN",
"address_2": "#320",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132793",
"telephone_number": "303-781-8439",
"fax_number": "303-788-6115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRIERE",
"first_name": "EDWARD",
"middle_name": "W",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CO",
"license": "30907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01309079",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.