NPI 1679790091 · Family Medicine · Anthem
Evidence across dimensions is contradictory — supporting and opposing signals are present.
NPPES
WHEAT RIDGE, 80033
Freshness: Stale (last updated 2021-06-17)
1,724 days since update
Network Status
Listed with 4 carriers
DORA License
Active
Medicare
Enrolled but no billing activity
Care Compare
Address matches NPPES
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes
Active NPI with specialty classification
Active Colorado DORA license confirmed
No Medicare billing · No electronic endpoint
Single address source (NPPES)
Limited carrier network presence
3 networks across 2 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.