Active NPI
Al Nitka, M.D.
- Anesthesiology Physician
- Lakewood, CO
National Provider Identifier
1194768093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25578
- Practice address
- 11600 W 2ND PL
Lakewood, CO 80228-1527 - Phone
- (719) 537-0712
- NPI assigned
- Jun 14, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25578 | CO | Primary |
Addresses
Primary practice location
11600 W 2ND PL
Lakewood, CO 80228-1527
Mailing address
PO Box 150
Holly, CO 81047-0150
Phone (719) 537-0712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01255785 | Medicaid | CO |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alfred C Nitka MD | Past | Accepting new patients | |
| Anesthesia Consultants PC | Anesthesiology | 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.
-
- Specialist
- Durango, CO
- NPI 1417206004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1194768093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 150",
"city": "HOLLY",
"state": "CO",
"postal_code": "810470150",
"telephone_number": "719-537-0712",
"fax_number": "719-537-6284"
},
{
"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": "719-537-0712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NITKA",
"first_name": "AL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "25578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01255785",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.