NPI 1356875603 · Family Medicine · Anthem
No evidence of recent practice activity despite listings in 4 carrier networks.
NPPES
AURORA, 80012
Freshness: Stale (last updated 2021-02-04)
1,857 days since update
Network Status
Listed with 4 carriers
DORA License
Active
Medicare
Not enrolled in Medicare (PECOS)
Care Compare
Address matches NPPES
PECOS Enrollment
No PECOS data
Active NPI with specialty classification
Active Colorado DORA license confirmed
No Medicare billing · No electronic endpoint · No PECOS enrollment
Single address source (NPPES)
Limited carrier network presence
4 networks across 3 carriers
Listed in 4 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.