Dr. Anthem 9990100003

NPI 9990100003 · Internal Medicine · Anthem

Provider Status Assessment

Insufficient Evidence

Confidence: Low

Evidence: 2 items from 2 sources

Signals: 2 supporting · 0 opposing · 5 missing

Resolution: Fewer than 4 independent data sources available. Insufficient evidence to determine activity status in either direction.

Data Source Signals

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NPPES

No NPPES data

✓

Network Status

Listed with 1 carrier

anthem_co — in_network (commercial)

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DORA License

No license data

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Medicare

Not enrolled in Medicare (PECOS)

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Care Compare

No Care Compare data

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PECOS Enrollment

No PECOS data

System Reasoning

Claim Under Evaluation

Provider is actively practicing and appropriately listed in carrier networks

Evidence Evaluated

FHIR Directory: No active FHIR endpoint despite carrier listings

Federal Exclusion Check: No federal exclusions found (OIG LEIE, SAM.gov)

Carrier Networks: Listed in 1 carrier network

NPPES Registry: No NPPES location data available

Colorado DORA License: No matching DORA license record found

Medicare Billing: No Medicare billing records available

PECOS Enrollment: PECOS enrollment status unknown

CMS Care Compare: Not found in CMS Care Compare

Trust Evaluation

identity:0.75Strong

licensure:0.55Moderate

activity:

Dimension Scores

Composite0.61

Identity0.75 — Moderate

Active NPI with specialty classification

Licensure0.55 — Moderate

No DORA license data found

Activity0.75 — Moderate

No Medicare billing · No electronic endpoint · No PECOS enrollment

Reachability0.40 — Weak

Address partially verified

Network0.43 — Weak

Weak network corroboration

Why is this provider classified as “insufficient evidence”?

Fewer than 4 independent data sources have evidence for this provider. Classification requires additional data.

Carrier Network Listings

1 network across 1 carrier

Anthem(1 network)

1 DOI 6C-3

Anthem Blue Cross Blue ShieldDOI 6C-3

View carrier →

Related Investigations

All providers in Anthem Blue Cross Blue Shield networkView →All Internal Medicine providers statewideView →All providers classified as Insufficient EvidenceView →

Evidence

2 items across 3 assertions from 2 sources

Connected Records

NPI Registration

Status: active

NPPES Deactivation

Carrier Network Listing

Listed in 1 carrier network

TiC: Anthem Blue Cross Blue Shield

Federal Exclusion Check

No exclusion found

OIG LEIE + SAM.gov

Evidence Lineage

NPI Registration StatusTrust: 0.90

↓NPPES Deactivationweight 0.85 · Mar 12, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 7, 2026

Timeline

Mar 12, 2026NPPES record: active

Mar 7, 2026Carrier listing: Anthem Blue Cross Blue Shield

Evidence

Loading evidence lineage...

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.