NPIMap

Individual provider Active NPI

Rick Carlson, DO

  • Emergency Medicine Physician
  • Port Saint Lucie, FL
National Provider Identifier
1730431669
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
002989 Issued in FL
Practice address
1800 SE Tiffany Ave
Port Saint Lucie, FL 34952-7521
Phone
(772) 398-1990
NPI assigned
Oct 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 002989 FL Primary

Addresses

Primary practice location

1800 SE Tiffany Ave
Port Saint Lucie, FL 34952-7521

Mailing address

1800 SE Tiffany Ave
Port Saint Lucie, FL 34952-7521

Other practice location 1

1400 Jackson St
Denver, CO 80206-2761
Phone (303) 388-4461

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NJHealth@njc.allscriptsdirect.net

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
I20160615001815 CO Practitioner - Emergency Medicine 0042501496 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rocky Vista University College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Jewish HealthGroup PAC ID 4587577028, 244 clinicians

Practice addresses (Care Compare)

1400 Jackson St
Denver, CO 80206-2761
Phone (303) 398-1355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.04 of 100Reported as group
Quality
86.21
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
69.37
Promoting interoperability
100
Improvement activities
40
Cost
65.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002989FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jan 20, 2025 Accepting new patients
National Jewish Health CurrentSince Jun 1, 2021 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jan 20, 2025 Accepting new patients
Emergency Service Physicians, Inc. Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Emergency Service Physicians, Inc. Emergency Medicine Current Accepting new patients
Emergency Service Physicians, Inc. Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients

Locations

23770 E Smoky Hill Rd
Aurora, CO 80016
Phone (303) 812-2000

1400 Jackson St
Denver, CO 80206
Phone (303) 388-4461

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

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

11900 Grant St
Northglenn, CO 80233
Phone (303) 812-5095

6500 W 104th Ave
Westminster, CO 80020
Phone (720) 573-5000

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

Interoperability endpoints

  • Direct secure messaging: njhealth@njc.allscriptsdirect.net

Organizations & group practices 7

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

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1730431669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SE TIFFANY AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE TIFFANY AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527521",
            "telephone_number": "772-398-1990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802062761",
            "country_code": "US",
            "telephone_number": "303-388-4461",
            "fax_number": "303-398-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "RICK",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "002989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NJHealth@njc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1400 Jackson St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802062761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.