Active NPI
Ndudi Okechukwu Oparaeche, MD
- Rheumatology Physician
- Englewood, CO
National Provider Identifier
1639246705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 43807
- Practice address
- 9570 S Kingston CT Ste 220
Englewood, CO 80112-6004 - Phone
- (303) 515-2912
- Fax
- (303) 957-5954
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 43807 | CO | Primary |
Addresses
Primary practice location
9570 S Kingston CT Ste 220
Englewood, CO 80112-6004
Mailing address
9570 S Kingston CT Ste 220
Englewood, CO 80112-6004
Phone (303) 515-2912
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01239201 | Medicaid | CO | |
| 811029 | Other | CO | MEDICARE PTAN |
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
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9570 S Kingston CT
Suite 220
Englewood, CO 80112-6004
Phone (303) 515-2912
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.5 of 100
- Quality
- 95
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43807 | CO | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenwich Medical, P.C. | Current | Accepting new patients |
Locations
9570 S Kingston Ct
Ste 220
Englewood, CO 80112
Phone (303) 515-2912
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Englewood, CO
- NPI 1023246097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1639246705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9570 S KINGSTON CT STE 220",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801126004",
"telephone_number": "303-515-2912",
"fax_number": "303-957-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9570 S KINGSTON CT STE 220",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801126004",
"telephone_number": "303-515-2912",
"fax_number": "303-957-5954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPARAECHE",
"first_name": "NDUDI",
"middle_name": "OKECHUKWU",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CO",
"license": "43807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01239201",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "811029",
"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 Mar 25, 2019; 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.