NPI 1053554683 · Internal Medicine · Anthem
Strong multi-source corroboration of active practice across 10 carrier networks with confirmed Colorado DORA license.
NPPES
AURORA, 80045
Freshness: Unknown
Network Status
Listed with 10 carriers
DORA License
Active
Medicare
1,073 services
300 beneficiaries
$42,577.76 total payment
Specialty: Internal Medicine
Care Compare
Address mismatch with NPPES
Active NPI with specialty classification
Active Colorado DORA license confirmed
Active Medicare billing confirmed
Single address source (NPPES)
Listed in multiple carrier networks
10 networks across 5 carriers
Strong network presence across 10 carrier networks with corroborating federal activity signals.
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes
Showing 20 of 23 evidence events.