Individual provider Active NPI

Ndudi Okechukwu Oparaeche, MD

  • Rheumatology Physician
  • Englewood, CO
National Provider Identifier
1639246705
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
43807 Issued in CO
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

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01239201MedicaidCO
811029OtherCOMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070125000026 CO Practitioner - RheumatologyPractitioner - Internal Medicine 0749172310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
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 100Reported as individual
Quality
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43807COMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Medical, P.C. CurrentSince Aug 3, 2009 Accepting new patients

Locations

9570 S Kingston Ct
Ste 220
Englewood, CO 80112
Phone (303) 515-2912

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.