NPI 1336555978 · Family Medicine · Anthem
Strong multi-source corroboration of active practice across 11 carrier networks with confirmed Colorado DORA license.
NPPES
AURORA, 80012
Freshness: Stale (last updated 2021-08-20)
1,660 days since update
Network Status
Listed with 12 carriers
DORA License
Active
Medicare
Enrolled but no billing activity
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
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.
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes
Showing 20 of 23 evidence events.