Individual provider Active NPI

Andrew Volodymyr Pytiak, M.D.

  • Orthopaedic Surgery Physician
  • Denver, CO
National Provider Identifier
1003046095
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
55621 Issued in CO
Practice address
2055 N High St Ste 130
Denver, CO 80205-5504
Phone
(303) 861-2663
Fax
(303) 861-4741
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A130217 CA
Orthopaedic Surgery Physician 207X00000X 55621 CO Primary

Addresses

Primary practice location

2055 N High St Ste 130
Denver, CO 80205-5504

Mailing address

4900 S Monaco St Ste 210
Mc5062
Denver, CO 80237-3487
Phone (303) 861-2663

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ANDREW.PYTIAK@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150923001077 CO Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7810219730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
130217CAMDProfessional Counselor
A130217CAMDOrthopaedic Surgery Physician
55621COMDOrthopaedic Surgery Physician

Networks

  • NM HMO C-SNP
  • CO HMO D-SNP
  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

Interoperability endpoints

  • Direct secure messaging: andrew.pytiak@hca3.eclinicaldirectplus.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1003046095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST STE 210",
            "address_2": "MC5062",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373487",
            "telephone_number": "303-861-2663",
            "fax_number": "303-861-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N HIGH ST STE 130",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055504",
            "telephone_number": "303-861-2663",
            "fax_number": "303-861-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYTIAK",
        "first_name": "ANDREW",
        "middle_name": "VOLODYMYR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A130217",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "55621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ANDREW.PYTIAK@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2055 N High St Ste 130",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802055504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.