Individual provider Active NPI

Carl Benjamin Rebhun, MD

  • Ophthalmology Physician
  • Littleton, CO
National Provider Identifier
1770088254
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DR.0073081 Issued in CO
Practice address
1501 W Mineral Ave Ste 100
Littleton, CO 80120-5716
Phone
(303) 730-0404
Fax
(720) 647-4210
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X DR.0073081 CO
Ophthalmology Physician 207W00000X DR.0073081 CO Primary

Addresses

Primary practice location

1501 W Mineral Ave Ste 100
Littleton, CO 80120-5716

Mailing address

1501 W Mineral Ave Ste 100
Littleton, CO 80120-5716
Phone (303) 730-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220517001799 CA Practitioner - Ophthalmology 8224372883 Reassigns benefits to 2 organizations
I20240808004874 CO Practitioner - Ophthalmology 8224372883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1501 W Mineral Ave
Suite 100
Littleton, CO 80120-5612
Phone (303) 730-0404

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Corneal Consultants of Colorado PC Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
Usc Care Medical Group, Inc Ophthalmology CurrentSince Jun 1, 2023 Accepting new patients
Corneal Consultants of Colorado PC Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2023 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

625 S Fair Oaks Ave
Ste 265
Pasadena, CA 91105
Phone (626) 564-0004

3235 Mill Vista Rd
Highlands Ranch, CO 80129
Phone (303) 730-0404

1501 W Mineral Ave
Ste 100
Littleton, CO 80120
Phone (303) 730-0404

1501 W Mineral Ave
Littleton, CO 80120

Interoperability endpoints

  • Direct secure messaging: carl.rebhun.p1@direct.eyesthetica.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1770088254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W MINERAL AVE STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205716",
            "telephone_number": "303-730-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W MINERAL AVE STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205716",
            "telephone_number": "303-730-0404",
            "fax_number": "720-647-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBHUN",
        "first_name": "CARL",
        "middle_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CO",
            "license": "DR.0073081",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR.0073081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.