Individual provider Active NPI

Emily R Prouse, MD

  • Obstetrics & Gynecology Physician
  • Denver, CO
National Provider Identifier
1902195969
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0055793 Issued in CO
Practice address
4500 E 9TH Ave
Ste 470
Denver, CO 80220-3912
Phone
(303) 320-8499
Fax
(303) 320-8620
NPI assigned
Mar 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DR.0055793 CO Primary

Addresses

Primary practice location

4500 E 9TH Ave
Ste 470
Denver, CO 80220-3912

Mailing address

4900 S Monaco St
Ste 210
Denver, CO 80237-3486
Phone (303) 320-8499

Other identifiers 1

IdentifierTypeStateIssuer
49280252MedicaidCO

Other names 1

  • Emily Fraser Roemer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address EMILY.PROUSE@hca3.eclinicaldirectplus.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160222000136 CO Practitioner - Obstetrics/Gynecology 8325343890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Carolina at Chapel Hill School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services - Obstetrics and Gynecology LLCGroup PAC ID 4587759972, 62 clinicians

Practice addresses (Care Compare)

4650 W 38TH Ave
Suite 215
Denver, CO 80212-2161
Phone (303) 320-2711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0055793COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Obstetrics and Gynecology LLC Obstetrics & Gynecology CurrentSince Jan 14, 2016 Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

4500 E 9th Ave
Ste 470
Denver, CO 80220
Phone (303) 320-8499

1400 S Potomac St
Ste 225
Denver, CO 80012
Phone (303) 563-2782

4650 W 38th Ave
Ste 215
Denver, CO 80212
Phone (303) 320-2711

4900 S Monaco St
Ste 210
Denver, CO 80237

Interoperability endpoints

  • Direct secure messaging: emily.prouse@hca3.eclinicaldirectplus.com

Organizations & group practices 2

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": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1902195969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-320-8499",
            "fax_number": "303-320-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "address_2": "STE 470",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203912",
            "telephone_number": "303-320-8499",
            "fax_number": "303-320-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUSE",
        "first_name": "EMILY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0055793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49280252",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EMILY.PROUSE@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4500 E 9th Ave",
            "address_2": "STE 470",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802203912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ROEMER",
            "middle_name": "FRASER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.