NPI 1164495370 · Emergency Medicine · Anthem
Strong multi-source corroboration of active practice across 3 carrier networks with confirmed Colorado DORA license.
NPPES
LAKEWOOD, 80228
Freshness: Unknown
Network Status
Listed with 3 carriers
DORA License
Active
Medicare
297 services
219 beneficiaries
$30,392.54 total payment
Specialty: Emergency Medicine
Care Compare
Address mismatch with NPPES
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes
Active NPI with specialty classification
Active Colorado DORA license confirmed
Active Medicare billing confirmed
Single address source (NPPES)
Limited carrier network presence
3 networks across 2 carriers
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.