NPIMap

Individual provider Active NPI

Elena Anisimova, M.D.

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1770564437
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41995 Issued in CO
Practice address
1260 S Parker Rd Ste 201
Denver, CO 80231
NPI assigned
Nov 9, 2005
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 41995 CO Primary

Addresses

Primary practice location

1260 S Parker Rd Ste 201
Denver, CO 80231

Mailing address

1260 S Parker Rd
Ste 201
Denver, CO 80231-8064
Phone (303) 802-5444

Other practice location 1

950 E Harvard Ave
Suite 660
Denver, CO 80210-7009
Phone (303) 649-3200

Other identifiers 2

IdentifierTypeStateIssuer
70533067MedicaidCO
59807555MedicaidCO

Other names 1

  • Yelena Anisimova Other name

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
I20040402000141 CO Practitioner - Internal Medicine 6204828064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1260 S Parker Rd
Suite 201
Denver, CO 80231-8068
Phone (303) 802-5444

22 S Adams St
Denver, CO 80209-2908
Phone (303) 321-2452

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.57
Improvement activities
40
Cost
94.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue72
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41995COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elena Anisimova, MD, PC Internal Medicine CurrentSince Jul 21, 2003 Accepting new patients
Zmily Health Group Inc. CurrentSince Sep 25, 2019 Accepting new patients
Healthone Clinic Services - Primary Care LLC Internal Medicine Past Accepting new patients

Locations

2851 S Parker Rd
Ste 100
Aurora, CO 80014
Phone (720) 400-5295

1260 S Parker Rd
Denver, CO 80231
Phone (303) 728-9872

1260 S Parker Rd
Ste 201
Denver, CO 80231
Phone (303) 522-0425

1601 E 19th Ave
Ste 3600
Denver, CO 80218
Phone (303) 861-9111

Interoperability endpoints

  • Direct secure messaging: elena.anisimova.1@16716.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16716/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1770564437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S PARKER RD",
            "address_2": "STE 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802318064",
            "telephone_number": "303-802-5444",
            "fax_number": "303-848-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S PARKER RD STE 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 E Harvard Ave",
            "address_2": "Suite 660",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802107009",
            "country_code": "US",
            "telephone_number": "303-649-3200",
            "fax_number": "303-765-6201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANISIMOVA",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "41995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70533067",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59807555",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YELENA",
            "last_name": "ANISIMOVA",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.