Individual provider Active NPI

Clinton M Anderson, M.D.

  • Diagnostic Radiology Physician
  • Lakewood, CO
National Provider Identifier
1053371054
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
32435 Issued in CO
Practice address
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone
(720) 321-0000
Fax
(720) 321-1621
NPI assigned
Mar 24, 2006
Last updated
Jan 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 32435 CO Primary

Addresses

Primary practice location

11600 W 2ND PL
Lakewood, CO 80228-1527

Mailing address

PO Box 223897
Pittsburgh, PA 15251-2897
Phone (720) 501-5000

Other identifiers 2

IdentifierTypeStateIssuer
300061721OtherCORAILROAD MEDICARE
01324359MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070523000736 CO Practitioner - Diagnostic Radiology 9830170851 Reassigns benefits to 1 organization
I20201015000188 KS Practitioner - Diagnostic Radiology 9830170851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Imaging Associates P CGroup PAC ID 6800880055, 61 clinicians

Practice addresses (Care Compare)

11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (303) 433-9729

11650 W 2ND PL
Lakewood, CO 80228-1527
Phone (303) 433-9729

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-3180

1950 Mountain View Ave
Longmont, CO 80501-3129
Phone (303) 651-5121

2551 W 84TH Ave
Westminster, CO 80031-3807
Phone (303) 433-9729

286 16TH St
Burlington, CO 80807-1651
Phone (303) 433-9729

310 County Rd
Suite 14
Del Norte, CO 81132-8758
Phone (719) 657-2510

401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2276

760 Warner Dr
Golden, CO 80401-5297
Phone (303) 925-4360

822 W 4TH St
Leadville, CO 80461-3861
Phone (719) 486-7153

8820 Huron St
Thornton, CO 80260-6805
Phone (303) 386-7622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32435COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Imaging Associates P C Diagnostic Radiology CurrentSince Jul 1, 1993 Accepting new patients
Pahs Onpoint Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Schryver Medical Sales and Marketing Inc. Past Accepting new patients
New Schryver LLC Past Accepting new patients

Locations

2777 Mile High Stadium Cir
Denver, CO 80211
Phone (303) 825-8822

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

5124 W 20th St
Greeley, CO 80634
Phone (970) 837-7100

1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559

9205 S Broadway
Ste 101
Highlands Ranch, CO 80129
Phone (720) 603-4353

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

1819 Denver West Dr
Ste 101
Lakewood, CO 80401
Phone (303) 854-9888

255 S Routt St
Lakewood, CO 80228
Phone (303) 406-9556

255 S Routt St
Ste 300
Lakewood, CO 80228
Phone (720) 321-8280

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

415 N Main St
Ulysses, KS 67880
Phone (620) 356-1266

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9821/brand/7/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1053371054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223897",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152512897",
            "telephone_number": "720-501-5000",
            "fax_number": "303-458-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 W 2ND PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281527",
            "telephone_number": "720-321-0000",
            "fax_number": "720-321-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CLINTON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "32435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300061721",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01324359",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.