NPIMap

Individual provider Active NPI

Nicoleta Rus, MD

  • Internal Medicine Physician
  • Parker, CO
National Provider Identifier
1639666910
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0067045 Issued in CO
Practice address
8401 S Chambers Rd # H101
Parker, CO 80134-9498
Phone
(720) 875-2880
Fax
(720) 875-2877
NPI assigned
Apr 22, 2018
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0067045 CO Primary

Addresses

Primary practice location

8401 S Chambers Rd # H101
Parker, CO 80134-9498

Mailing address

4918 Carter CT
Boulder, CO 80301-3804
Phone (303) 396-4142

Other names 1

  • Mrs. Nicoleta Dutcus Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220310002190 CO Practitioner - Internal MedicinePractitioner - Hospitalist 9032468103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

1645 Broadway
Boulder, CO 80302-6218
Phone (303) 415-8900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0067045COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health CurrentSince Jul 10, 2023 Accepting new patients
Boulder Community Health CurrentSince Jul 10, 2023 Accepting new patients
Boulder Community Health Current Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

1645 Broadway
Boulder, CO 80302
Phone (303) 415-8900

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1524355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1639666910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 CARTER CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013804",
            "telephone_number": "303-396-4142",
            "fax_number": "720-875-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 S CHAMBERS RD # H101",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349498",
            "telephone_number": "720-875-2880",
            "fax_number": "720-875-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUS",
        "first_name": "NICOLETA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-22",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0067045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLETA",
            "last_name": "DUTCUS",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.