NPI 1316045701 · Physician · Anthem
Moderate evidence supports active practice with 10 carrier network listings and verified licensure.
NPPES
CENTENNIAL, 80112
Freshness: Unknown
Network Status
Listed with 10 carriers
DORA License
Active
Medicare
Enrolled but no billing activity
Care Compare
No Care Compare data
PECOS Enrollment
Medicare enrolled
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
10 networks across 5 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.
Order/Referring eligible: Yes