| Dr Nicholas Robert Polise, DO | |
|
7700 S Broadway, Littleton, CO 80122-2602 | |
| (303) 730-8900 | |
| (303) 738-7755 |
| Full Name | Dr Nicholas Robert Polise |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 10 Years |
| Location | 7700 S Broadway, Littleton, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235588021 | NPI | - | NPPES |
| 9000141319 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0005955 (Colorado) | Secondary |
| 208M00000X | Hospitalist | 0005955 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centura Health-st Anthony North Health Campus | Westminster, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Catholic Health Initiatives Colorado | 8022927342 | 1266 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Entity Name | Portercare Adventist Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicholas Robert Polise, DO Po Box 800022, Kansas City, MO 64180-0022 Ph: (800) 953-0104 | Dr Nicholas Robert Polise, DO 7700 S Broadway, Littleton, CO 80122-2602 Ph: (303) 730-8900 |
Edward Anthony Malcolm, D.O Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 7700 S Broadway, Littleton, CO 80122 Phone: 303-730-8900 | |
Dr. Irfan J Ali, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 7700 S Broadway, Littleton, CO 80122 Phone: 303-730-8900 |