NPI 1942821186 · Family Medicine · Anthem
Strong multi-source corroboration of active practice across 3 carrier networks with confirmed Colorado DORA license.
NPPES
CENTENNIAL, 80122
Freshness: Aging (last updated 2023-10-20)
869 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
Active Medicare billing confirmed
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.