Individual provider Active NPI

Angela Haas, D.O.

  • Family Medicine Physician
  • Brighton, CO
National Provider Identifier
1053575449
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0046904 Issued in CO
Practice address
2801 Purcell St
Brighton, CO 80601-3551
Phone
(303) 659-9700
NPI assigned
Jul 15, 2008
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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 DR.0046904 CO Primary

Addresses

Primary practice location

2801 Purcell St
Brighton, CO 80601-3551

Mailing address

2901 Purcell St
Brighton, CO 80601-3550
Phone (303) 659-9700

Other identifiers 1

IdentifierTypeStateIssuer
90730046MedicaidCO

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
I20130508000110 CO Practitioner - Family Practice 1254578487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urgent Care LLCGroup PAC ID 3870745060, 28 clinicians

Practice addresses (Care Compare)

2801 Purcell St
Brighton, CO 80601-3551
Phone 3036599700531

Procedures performed for Medicare patients

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0046904COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platte River Medical Clinic LLC Family Medicine Current Accepting new patients
Advanced Urgent Care LLC CurrentSince Feb 3, 2025 Accepting new patients
Advanced Urgent Care LLC CurrentSince Sep 8, 2025 Accepting new patients

Locations

2801 Purcell St
Brighton, CO 80601
Phone (303) 558-0515

1050 W 104th Ave
Northglenn, CO 80234
Phone 3036599700 ext. 531

Interoperability endpoints

  • Direct secure messaging: angela.haas.1@4045.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1922/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1053575449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 PURCELL ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013550",
            "telephone_number": "303-659-9700",
            "fax_number": "720-336-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PURCELL ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013551",
            "telephone_number": "303-659-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "ANGELA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0046904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90730046",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

Verify at the official NPI Registry.