Individual provider Active NPI

Philip A. Emrie, M.D.

  • Pulmonary Disease Physician
  • Lakewood, CO
National Provider Identifier
1720081086
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
24646 Issued in CO
Practice address
1536 Cole Blvd Ste 4-250
Lakewood, CO 80401-3413
Phone
(303) 716-8027
Fax
(303) 238-5258
NPI assigned
May 31, 2005
Last updated
May 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 24646 CO
Pulmonary Disease Physician 207RP1001X 24646 CO Primary

Addresses

Primary practice location

1536 Cole Blvd Ste 4-250
Lakewood, CO 80401-3413

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (719) 538-2900

Other identifiers 1

IdentifierTypeStateIssuer
01246461MedicaidCO

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
I20110209000644 CO Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7911956974 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24646COMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Colorado Medical Group LLC Current Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Mar 1, 2024 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

7950 Kipling St
Ste 101
Arvada, CO 80005
Phone (303) 425-4680

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

630 Plaza Dr
Ste 110
Highlands Ranch, CO 80129
Phone (303) 376-1747

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1720081086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "719-538-2900",
            "fax_number": "719-538-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 COLE BLVD STE 4-250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013413",
            "telephone_number": "303-716-8027",
            "fax_number": "303-238-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMRIE",
        "first_name": "PHILIP",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CO",
            "license": "24646",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "24646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01246461",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.