Active NPI
Andrea Kathleen Sotelo, MD
- Anatomic Pathology Physician
- Denver, CO
National Provider Identifier
1104894252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 42674
- Practice address
- 6116 E Warren Ave
Denver, CO 80222-5703 - Phone
- (303) 512-0888
- Fax
- (303) 512-2268
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 42674 | CO | Primary |
Addresses
Primary practice location
6116 E Warren Ave
Denver, CO 80222-5703
Mailing address
103 Continental PL
Ste 400
Brentwood, TN 37027-1041
Phone (615) 916-3200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0156791 | Medicaid | MT | |
| 83357076 | Medicaid | NM | |
| Z2990 | Medicaid | UT | |
| 425420100 | Medicaid | MN | |
| 03106322 | Medicaid | CO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Colorado School of Medicine, Denver, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1719 E 19TH Ave
Denver, CO 80218-1235
Phone (720) 754-6851
Hospital & facility affiliations
- HCA HealthOne Presbyterian St. Lukes
- HCA Healthone Rose
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42674 | CO | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthone Irl Pathology Services, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Englewood, CO
- NPI 1467978668
-
- Anatomic Pathology & Clinical Pathology Physician
- Thornton, CO
- NPI 1740883263
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denver, CO
- NPI 1023062098
-
- General Acute Care Hospital
- Denver, CO
- NPI 1720038946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394582400000",
"number": "1104894252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 CONTINENTAL PL",
"address_2": "STE 400",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271041",
"telephone_number": "615-916-3200",
"fax_number": "615-658-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6116 E WARREN AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802225703",
"telephone_number": "303-512-0888",
"fax_number": "303-512-2268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTELO",
"first_name": "ANDREA",
"middle_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2014-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "CO",
"license": "42674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0156791",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83357076",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z2990",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "425420100",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03106322",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.