NPI 1245734755 · Family Medicine · Anthem
Strong multi-source corroboration of active practice across 11 carrier networks with confirmed Colorado DORA license.
NPPES
LAKEWOOD, 80228
Freshness: Stale (last updated 2021-08-16)
1,664 days since update
Network Status
Listed with 11 carriers
DORA License
Active
Medicare
Enrolled but no billing activity
Care Compare
No Care Compare data
PECOS Enrollment
Active NPI with specialty classification
Active Colorado DORA license confirmed
Active Medicare billing confirmed
Single address source (NPPES)
Listed in multiple carrier networks
11 networks across 6 carriers
Strong network presence across 11 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.
Medicare enrolled
Order/Referring eligible: Yes