Individual provider Active NPI

Antony Pearson, M.D.

  • Hospitalist Physician
  • Longmont, CO
National Provider Identifier
1235136201
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
34139 Issued in CO
Practice address
1950 Mountain View Ave
Longmont, CO 80501-3129
Phone
(303) 485-3066
Fax
(303) 485-3060
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34139 CO
Hospitalist Physician 208M00000X 34139 CO Primary

Addresses

Primary practice location

1950 Mountain View Ave
Longmont, CO 80501-3129

Mailing address

PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104

Other practice location 1

2000 Boise Ave
Loveland, CO 80538-5006
Phone (970) 203-6770

Other identifiers 1

IdentifierTypeStateIssuer
01341395MedicaidCO

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
I20051010000640 CO Practitioner - Internal MedicinePractitioner - Family Practice 0244255198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34139COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jun 1, 2020 Accepting new patients
Healogics Specialty Physicians of Colorado-Professional, LLC CurrentSince Aug 1, 2021 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jun 1, 2020 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Portercare Adventist Health System CurrentSince Jun 1, 2020 Accepting new patients
Healogics Specialty Physicians of Colorado-Professional, LLC Internal Medicine Current Accepting new patients
Portercare Adventist Health System CurrentSince Jun 1, 2020 Accepting new patients
Longmont United Hospital Past Accepting new patients

Locations

6600 Firestone Blvd
Firestone, CO 80504
Phone (303) 649-3450

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

2030 Mountain View Ave
Ste 400
Longmont, CO 80501
Phone (303) 776-1532

1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

9399 Crown Crest Blvd
Ste 430
Parker, CO 80138
Phone (303) 269-2310

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tru Community CareLafayette, CO, CCN 067464 Home health agency Corporate Director Jan 1, 2021
Tru Community CareLafayette, CO, CCN 061501 Hospice Corporate Director Jan 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1235136201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 MOUNTAIN VIEW AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013129",
            "telephone_number": "303-485-3066",
            "fax_number": "303-485-3060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Boise Ave",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805385006",
            "country_code": "US",
            "telephone_number": "970-203-6770",
            "fax_number": "970-593-6055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "ANTONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "34139",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "34139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01341395",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.