NPIMap

Individual provider Active NPI

Taisa Victoria Wiedel, M.D.

  • Hospitalist Physician
  • Denver, CO
National Provider Identifier
1700206679
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
56332 Issued in CO
Practice address
835 E 18TH Ave Ste 110
Denver, CO 80218-1024
Phone
(303) 825-4646
Fax
(303) 825-3215
NPI assigned
Apr 18, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 56332 CO
Hospitalist Physician 208M00000X 56332 CO Primary

Addresses

Primary practice location

835 E 18TH Ave Ste 110
Denver, CO 80218-1024

Mailing address

835 E 18TH Ave Ste 110
Denver, CO 80218-1024
Phone (303) 825-4646

Other practice location 1

535 16th St Ste 750
Denver, CO 80202-4228
Phone (303) 825-4646

Other practice location 2

1960 Ogden St
Suite 460
Denver, CO 80218-3666
Phone (303) 318-2525

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@hrrmc.hin.us

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
I20160829001078 CO Practitioner - HospitalistPractitioner - Family Practice 3375761471 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
University of Colorado School of Medicine, Denver, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salida Hospital DistrictGroup PAC ID 3577451152, shared by 9 NPIs, 100 clinicians

Practice addresses (Care Compare)

1000 Rush Dr
Salida, CO 81201-9627
Phone (719) 530-2477

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56332COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Mar 1, 2020 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine Current Accepting new patients
Healthone Carenow Urgent Care, LLC CurrentSince Sep 1, 2016 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Mar 1, 2020 Accepting new patients
Salida Hospital District CurrentSince Jan 1, 2019 Accepting new patients
Salida Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Salida Hospital District CurrentSince Jan 1, 2019 Accepting new patients
Salida Hospital District Family Medicine Current Accepting new patients

Locations

5620 S Parker Rd
Aurora, CO 80015
Phone (720) 446-5890

1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500

835 E 18th Ave
Ste 110
Denver, CO 80218
Phone (303) 825-4646

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

550 W US Highway 50
Salida, CO 81201
Phone (719) 530-2014

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

Interoperability endpoints

  • Direct secure messaging: ehr-direct@hrrmc.hin.us

Organizations & group practices 8

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700206679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E 18TH AVE STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181024",
            "telephone_number": "303-825-4646",
            "fax_number": "303-825-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E 18TH AVE STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181024",
            "telephone_number": "303-825-4646",
            "fax_number": "303-825-3215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 16th St Ste 750",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802024228",
            "country_code": "US",
            "telephone_number": "303-825-4646",
            "fax_number": "303-825-3215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1960 Ogden St",
            "address_2": "Suite 460",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802183666",
            "country_code": "US",
            "telephone_number": "303-318-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEDEL",
        "first_name": "TAISA",
        "middle_name": "VICTORIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "56332",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "56332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@hrrmc.hin.us",
            "affiliation": "N",
            "address_1": "1000 Rush Dr",
            "city": "Salida",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812019627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.