Individual provider Active NPI

Douglas Hansen, M.D.

  • Family Medicine Physician
  • Littleton, CO
National Provider Identifier
1184773400
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39798 Issued in CO
Practice address
13402 W Coal Mine Ave
Suite 230
Littleton, CO 80127-5407
Phone
(303) 730-2167
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 39798 CO Primary

Addresses

Primary practice location

13402 W Coal Mine Ave
Suite 230
Littleton, CO 80127-5407

Mailing address

13402 W Coal Mine Ave
Suite 230
Littleton, CO 80127-5407
Phone (303) 730-2167

Other identifiers 3

IdentifierTypeStateIssuer
17023831MedicaidCO
39798OtherCOSTATE LICENSE
CO40919OtherCOMEDICARE PTAN

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
I20040406000066 CO Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Other (Physician) 1951394097 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39798COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altitude Family & Internal Medicine, LLC Family Medicine Current Accepting new patients
Altitude Family & Internal Medicine, LLC CurrentSince Oct 1, 2007 Accepting new patients
Cherry Creek Family Practice PLLC Past Accepting new patients

Locations

7950 Kipling St
Spc 200
Arvada, CO 80005
Phone (303) 425-0500

13402 W Coal Mine Ave
Ste 230
Littleton, CO 80127
Phone (303) 730-2167

Interoperability endpoints

  • Direct secure messaging: dhansen@altitudemedicine.kareodirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184773400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 W COAL MINE AVE",
            "address_2": "SUITE 230",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275407",
            "telephone_number": "303-730-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 W COAL MINE AVE",
            "address_2": "SUITE 230",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275407",
            "telephone_number": "303-730-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17023831",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "39798",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CO40919",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.