NPI 1548757073 · Dermatology · Anthem
Strong multi-source corroboration of active practice across 9 carrier networks with confirmed Colorado DORA license.
NPPES
CASTLE ROCK, 80104
Freshness: Unknown
Network Status
Listed with 9 carriers
DORA License
Active
Medicare
Not enrolled in Medicare (PECOS)
746 beneficiaries
$199,561.13 total payment
Specialty: Dermatology
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
9 networks across 5 carriers
Strong network presence across 9 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
No PECOS data