Active NPI
Matthew D McCoy, M.D.
- Family Medicine Physician
- Denver, CO
National Provider Identifier
1104961390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30538
- Practice address
- 1700 N Marion St
Denver, CO 80218 - Phone
- (303) 860-7770
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 19, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30538 | CO | Primary |
Addresses
Primary practice location
1700 N Marion St
Denver, CO 80218
Mailing address
1700 Marion Street
Denver, CO 80218-1121
Phone (303) 830-6666
Other practice location 1
1700 Marion Street
Denver, CO 80218-1121
Phone (303) 830-6666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01305382 | Medicaid | CO | |
| 080158230 | Other | CO | MEDICARE ID TYPE UNS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30538 | CO | MD | Family Medicine Physician |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Denver, CO
- NPI 1760928444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1104961390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 MARION STREET",
"city": "DENVER",
"state": "CO",
"postal_code": "802181121",
"telephone_number": "303-830-6666",
"fax_number": "303-830-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 N MARION ST",
"city": "DENVER",
"state": "CO",
"postal_code": "80218",
"telephone_number": "303-860-7770"
}
],
"practiceLocations": [
{
"address_1": "1700 Marion Street",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802181121",
"country_code": "US",
"telephone_number": "303-830-6666",
"fax_number": "303-830-7099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCOY",
"first_name": "MATTHEW",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "30538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01305382",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID TYPE UNS",
"identifier": "080158230",
"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 Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.