Active NPI
Philip A. Emrie, M.D.
- Pulmonary Disease Physician
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 24646
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01246461 | Medicaid | CO |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24646 | CO | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | 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.
-
dba Optum Colorado Springs
- General Practice Physician
- Colorado Springs, CO
- NPI 1407252828
-
- Internal Medicine Physician
- Golden, CO
- NPI 1427010859
-
dba Mountainview Medical Group at Centenial
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1568093847
-
dba Colorado Center for Arthritis & Osteoporosis
- Rheumatology Physician
- Boulder, CO
- NPI 1922893478
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.