Individual provider Active NPI

Rebecca J Brock, MD

  • Ophthalmology Physician
  • Denver, CO
National Provider Identifier
1952365397
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
32695 Issued in CO
Practice address
4999 E Kentucky Ave
Denver, CO 80246-3901
Phone
(303) 691-0777
Fax
(303) 691-0041
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 32695 CO Primary

Addresses

Primary practice location

4999 E Kentucky Ave
Denver, CO 80246-3901

Mailing address

4999 E Kentucky Ave
Denver, CO 80246-3901
Phone (303) 691-0777

Other identifiers 1

IdentifierTypeStateIssuer
36321061MedicaidCO

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
I20080811000266 CO Practitioner - Ophthalmology 6002980935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Eye Care, PCGroup PAC ID 5890684872, 4 clinicians

Practice addresses (Care Compare)

4999 E Kentucky Ave
Suite 102
Denver, CO 80246-2280
Phone (303) 691-0777

Merit-based Incentive Payment System (MIPS)

Final score
93.46 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32695COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Eye Care, PC Ophthalmology CurrentSince Jul 15, 1993 Accepting new patients

Locations

4999 E Kentucky Ave
Ste 102
Denver, CO 80246
Phone (303) 388-2401

4999 E Kentucky Ave
Denver, CO 80246
Phone (303) 691-0777

Organizations & group practices 1

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1952365397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 E KENTUCKY AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463901",
            "telephone_number": "303-691-0777",
            "fax_number": "303-691-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 E KENTUCKY AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463901",
            "telephone_number": "303-691-0777",
            "fax_number": "303-691-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "REBECCA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "32695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36321061",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.