Active NPI
August Lee Anneberg, M.D.
- Internal Medicine Physician
- Denver, CO
National Provider Identifier
1225000508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21331
- Practice address
- 110 Gilpin St
Denver, CO 80218-4012 - Phone
- (303) 877-6219
- Fax
- (303) 733-2560
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21331 | CO | Primary |
Addresses
Primary practice location
110 Gilpin St
Denver, CO 80218-4012
Mailing address
110 Gilpin St
Denver, CO 80218-4012
Phone (303) 877-6219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01213313 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21331 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1225000508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 GILPIN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802184012",
"telephone_number": "303-877-6219",
"fax_number": "303-733-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 GILPIN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802184012",
"telephone_number": "303-877-6219",
"fax_number": "303-733-2560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNEBERG",
"first_name": "AUGUST",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "21331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01213313",
"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 Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.