Individual provider Active NPI

Andy M Fine

  • Internal Medicine Physician
  • Littleton, CO
National Provider Identifier
1245261965
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34784 Issued in CO
Practice address
7720 S Broadway Ste G30
Littleton, CO 80122-2636
Phone
(303) 703-8583
Fax
(303) 703-9791
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34784 CO Primary

Addresses

Primary practice location

7720 S Broadway Ste G30
Littleton, CO 80122-2636

Mailing address

7720 S Broadway
Ste 590
Littleton, CO 80122-2601
Phone (303) 703-8583

Other names 1

  • Dr. Andy M Fine Professional name

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
I20050916000292 CO Practitioner - Internal Medicine 0345273611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 W Dry Creek Cir
Littleton, CO 80120-4478
Phone (303) 703-8583

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34784COMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Andy M. Fine, M.D., Inc Internal Medicine CurrentSince Aug 1, 1998 Accepting new patients

Locations

7720 S Broadway
Ste 590
Littleton, CO 80122
Phone (303) 248-7220

20 W Dry Creek Cir
Littleton, CO 80120
Phone (303) 346-2443

7720 S Broadway
Ste G30
Littleton, CO 80122
Phone (303) 703-8583

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1245261965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY",
            "address_2": "STE 590",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222601",
            "telephone_number": "303-703-8583",
            "fax_number": "303-703-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE G30",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222636",
            "telephone_number": "303-703-8583",
            "fax_number": "303-703-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "ANDY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "34784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDY",
            "last_name": "FINE",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.