NPIMap

Organization Active NPI

Rocky Mountain Infectious Disease Specialists, P.C.

  • Preferred Provider Organization
  • Aurora, CO
National Provider Identifier
1629078993
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
ROCKY MOUNTAIN INFECTIOUS DISEASE SPECIALISTS, P.C.
Practice address
1550 S Potomac St
Suite 270
Aurora, CO 80012-5455
Phone
(303) 750-1800
Fax
(303) 750-8000
NPI assigned
Jul 28, 2005
Reactivated
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
James M. Neid Jr., M.D.NPI 1962467126
Title
President
Phone
(303) 750-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

1550 S Potomac St
Suite 270
Aurora, CO 80012-5455

Mailing address

1550 S Potomac St
Suite 270
Aurora, CO 80012-5455
Phone (303) 750-1800

Other identifiers 1

IdentifierTypeStateIssuer
02389771MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000573 CO Part B Supplier - Clinic/Group Practice 5698687721 Receives reassigned benefits from 13 practitioners
Practice locations: Aurora, CO; Denver, CO; Littleton, CO; Lone Tree, CO

National Provider Directory

National Provider Directory
Tax ID family
Rocky Mountain Infectious Disease Specialists PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1550 S Potomac St
Ste 270
Denver, CO 80012
Phone (303) 750-1800

10099 Ridgegate Pkwy
Ste 460
Lone Tree, CO 80124
Phone (303) 799-7372

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1629078993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST",
            "address_2": "SUITE 270",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125455",
            "telephone_number": "303-750-1800",
            "fax_number": "303-750-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST",
            "address_2": "SUITE 270",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125455",
            "telephone_number": "303-750-1800",
            "fax_number": "303-750-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN INFECTIOUS DISEASE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2011-06-21",
        "deactivation_date": "2005-08-03",
        "reactivation_date": "2006-04-20",
        "status": "A",
        "authorized_official_last_name": "NEID",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-750-1800",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02389771",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.