Individual provider Active NPI

Herman Andrew Damek, M.D.

  • Family Medicine Physician
  • Lafayette, CO
National Provider Identifier
1013027903
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43030 Issued in CO
Practice address
1000 W South Boulder Rd
Suite 110
Lafayette, CO 80026-2752
Phone
(303) 415-4355
Fax
(303) 666-1982
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43030 CO Primary

Addresses

Primary practice location

1000 W South Boulder Rd
Suite 110
Lafayette, CO 80026-2752

Mailing address

5450 Western Ave
Suite B
Boulder, CO 80301-2709
Phone (303) 415-4355

Other identifiers 1

IdentifierTypeStateIssuer
77573889MedicaidCO

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
I20110324000896 CO Practitioner - Family Practice 9335047166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

1000 W S Boulder Rd
Suite 110
Lafayette, CO 80026-2753
Phone (303) 415-4355

Hospital & facility affiliations

  • Optimal Home Care Loveland Home health agency, Loveland, CO, CCN 067546
  • Compassionate Home Health Care LLC Home health agency, Broomfield, CO, CCN 067459
  • Boulder Community Health Hospital, Boulder, CO, CCN 060027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health CurrentSince Jan 10, 2011 Accepting new patients
Boulder Community Health Current Accepting new patients
Boulder Community Health CurrentSince Jan 10, 2011 Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

5450 Western Ave
Ste B
Boulder, CO 80301

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

1000 W South Boulder Rd
Ste 110
Lafayette, CO 80026
Phone (303) 415-4355

Networks

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013027903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 WESTERN AVE",
            "address_2": "SUITE B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012709",
            "telephone_number": "303-415-4355",
            "fax_number": "303-666-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W SOUTH BOULDER RD",
            "address_2": "SUITE 110",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262752",
            "telephone_number": "303-415-4355",
            "fax_number": "303-666-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMEK",
        "first_name": "HERMAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "43030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77573889",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.