NPI 1417010398 · Family Medicine · Anthem
Strong multi-source corroboration of active practice across 8 carrier networks with confirmed Colorado DORA license.
NPPES
DENVER, 80204
Freshness: Aging (last updated 2024-12-12)
450 days since update
Network Status
Listed with 8 carriers
DORA License
Active
Medicare
Enrolled but no billing activity
Care Compare
No Care Compare data
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)
Listed in multiple carrier networks
8 networks across 3 carriers
Strong network presence across 8 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.