Individual provider Active NPI

Ethan Wei, M.D.

  • Hospitalist Physician
  • Longmont, CO
National Provider Identifier
1912260811
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
55496 Issued in CO
Practice address
2030 Mountain View Ave
Suite 540
Longmont, CO 80501-3178
Phone
(303) 951-4059
Fax
(303) 951-4060
NPI assigned
Jun 17, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IN
Hospitalist Physician 208M00000X 55496 CO Primary

Addresses

Primary practice location

2030 Mountain View Ave
Suite 540
Longmont, CO 80501-3178

Mailing address

9085 E Mineral Cir
Suite 110
Centennial, CO 80112-3462
Phone (303) 801-0129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807014452 CO Practitioner - Internal Medicine 5496996217 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55496COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince Aug 1, 2017 Accepting new patients
Inpatient Services, PC CurrentSince Aug 6, 2017 Accepting new patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince Aug 1, 2017 Accepting new patients
Inpatient Services, PC CurrentSince Aug 6, 2017 Accepting new patients
Longmont Pulmonary and Critical Care Associates, PC Past Accepting new patients

Locations

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

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

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

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": "1339891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1912260811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9085 E MINERAL CIR",
            "address_2": "SUITE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123462",
            "telephone_number": "303-801-0129",
            "fax_number": "303-586-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 540",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013178",
            "telephone_number": "303-951-4059",
            "fax_number": "303-951-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEI",
        "first_name": "ETHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-17",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "55496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.