Individual provider Active NPI

Irene S Soesilo, DO

  • Hospitalist Physician
  • Castle Rock, CO
National Provider Identifier
1912062746
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DR.0043413 Issued in CO
Practice address
2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone
(720) 455-0655
NPI assigned
Dec 22, 2006
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43413 CO
Hospitalist Physician 208M00000X DR.0043413 CO Primary

Addresses

Primary practice location

2350 Meadows Blvd
Castle Rock, CO 80109-8405

Mailing address

2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (720) 455-0655

Other identifiers 1

IdentifierTypeStateIssuer
10722238MedicaidCO

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
I20050817000367 CO Practitioner - Internal Medicine 5698705853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carepoint Hospital Medicine PLLCGroup PAC ID 4688939903, 28 clinicians

Practice addresses (Care Compare)

1719 E 19TH Ave
Presbyterian St Luke's Hospitalist
Denver, CO 80218-1235
Phone (303) 839-7111

2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (720) 455-0650

2353 Meadows Blvd
Suite 300
Castle Rock, CO 80109-8405
Phone (720) 455-3750

2360 Meadows Blvd
Suite 300
Castle Rock, CO 80109-8405
Phone (303) 715-7106

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43413COMDInternal Medicine Physician
DR.0043413COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Hospital Medicine, PLLC Hospitalist CurrentSince Jun 1, 2018 Accepting new patients
Carepoint Hospital Medicine, PLLC Hospitalist CurrentSince Jun 1, 2018 Accepting new patients
Healthone Clinic Services - Medical Specialties LLC Internal Medicine PastSince Feb 1, 2008 Accepting new patients
North Denver Pulmonary & Critical Care PastSince Oct 20, 2008 Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

900 Potomac St
Aurora, CO 80011
Phone (303) 363-5333

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

1721 E 19th Ave
Ste 520
Denver, CO 80218
Phone (303) 839-6741

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

5600 S Quebec St
Ste 312A
Greenwood Village, CO 80111
Phone (303) 343-6272

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

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

Organizations & group practices 6

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1912062746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 MEADOWS BLVD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098405",
            "telephone_number": "720-455-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MEADOWS BLVD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098405",
            "telephone_number": "720-455-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOESILO",
        "first_name": "IRENE",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "43413",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0043413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10722238",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.