NPI 1093977282 · Internal Medicine · Anthem
No evidence of recent practice activity despite listings in 7 carrier networks.
NPPES
DENVER, 80205
Freshness: Stale (last updated 2019-11-05)
2,313 days since update
Network Status
Listed with 7 carriers
DORA License
Active
Medicare
Enrolled but no billing activity
Care Compare
No Care Compare data
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes
Active NPI with specialty classification
Active Colorado DORA license confirmed
No Medicare billing · No electronic endpoint
Single address source (NPPES)
Listed in multiple carrier networks
7 networks across 3 carriers
Listed in 7 carrier networks but no corresponding activity signals found in federal practice datasets.
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.