Active NPI
Elena M Chebanova, MD
- Internal Medicine Physician
- Denver, CO
National Provider Identifier
1891724027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35300
- Practice address
- 9450 E Mississippi Ave
#B
Denver, CO 80247-2307 - Phone
- (303) 696-1376
- Fax
- (303) 696-1606
- NPI assigned
- Jul 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35300 | CO | Primary |
Addresses
Primary practice location
9450 E Mississippi Ave
#B
Denver, CO 80247-2307
Mailing address
9450 E Mississippi Ave
#B
Denver, CO 80247-2307
Phone (303) 696-1376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01353002 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35300 | CO | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1891724027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9450 E MISSISSIPPI AVE",
"address_2": "#B",
"city": "DENVER",
"state": "CO",
"postal_code": "802472307",
"telephone_number": "303-696-1376",
"fax_number": "303-696-1606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9450 E MISSISSIPPI AVE",
"address_2": "#B",
"city": "DENVER",
"state": "CO",
"postal_code": "802472307",
"telephone_number": "303-696-1376",
"fax_number": "303-696-1606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEBANOVA",
"first_name": "ELENA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "35300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01353002",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.