Christopher Lee Colglazier, MD
Individual provider Active NPI Rheumatology Physician · Crestview Hills, KY
NPI 1679555486 · NPPES record last updated Oct 8, 2013
Key facts
- NPI
- 1679555486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 39193 (KY)
- Practice address
- 2616 Legends Way
Crestview Hills, KY 41017-2418 - Phone
- (859) 331-3100
- Fax
- (859) 331-9147
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Rheumatology
- Education
- University of Cincinnati College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tristate Arthritis and Rheumatology PSC
Kentucky Rehabilitation Services, Inc.
Practice addresses (Care Compare)
2616 Legends Way
Crestview Hills, KY 41017-2418
Phone (859) 331-3100
580 Buttermilk Pike
Crescent Springs, KY 41017-1635
Phone (859) 341-6654
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Florence
- St Elizabeth Dearborn Hospital
- St Elizabeth Ft Thomas
- Mercy Health - West Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.25 of 100
- Quality
- 96.82
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050222000056 | KY | Practitioner - Rheumatology | 4587617394 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39193 | KY | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tristate Arthritis & Rheumatology PSC | Rheumatology | Current |
Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2616 Legends Way
Crestview Hills, KY 41017
Phone (606) 331-3100
Interoperability endpoints
- ccolglazier25759@direct-prd.stelizabeth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 39193 | KY | Yes |
Addresses
Primary practice location
2616 Legends Way
Crestview Hills, KY 41017-2418
Mailing address
2616 Legends Way
Crestview Hills, KY 41017-2418
Phone (859) 331-3100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64098197 | Medicaid | KY |
Other providers in Crestview Hills, KY
- Cincinnati Pet Scan, LLC
- Cincinnati Sportsmedicine and Orthopaedic Center, Inc.
- Christopher Cirulli
- Shannon D. Clifton
- Benjamin Cole
- Colorectal Care of Northern Ky, PLLC
- Angelo J Colosimo
- Commonwealth Pain Associates PLLC
- Commonwealth Pain Associates PLLC
- Community Mental Health Center
All providers in Crestview Hills, KY · Rheumatology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.