Individual provider Active NPI

Andrew Beaulieu, M.D.

  • Internal Medicine Physician
  • Greeley, CO
National Provider Identifier
1346352457
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60066 Issued in CO
Practice address
2001 70TH Ave Ste 300
Greeley, CO 80634
Phone
(970) 810-5689
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 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 60066 CO Primary

Addresses

Primary practice location

2001 70TH Ave Ste 300
Greeley, CO 80634

Mailing address

2001 70TH Ave Ste 300
Greeley, CO 80634-4632
Phone (970) 810-5689

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
I20180516002419 CO Practitioner - NephrologyPractitioner - Internal Medicine 9739147679 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60066COMDInternal Medicine Physician
291456NYMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Post-Acute Medical Services 1 PC CurrentSince Dec 18, 2023 Accepting new patients
Inpatient Consultants of Colorado PC Internal Medicine CurrentSince Sep 6, 2024 Accepting new patients
CS Pacs 3 Northwest, LLC CurrentSince Aug 1, 2024 Accepting new patients
Co Pacs 2 PC CurrentSince Dec 18, 2023 Accepting new patients
Inpatient Consultants of Colorado PC Internal Medicine CurrentSince Sep 6, 2024 Accepting new patients
Greenville Health System Past Accepting new patients
Greenville Kidney Care LLC PastSince Nov 1, 2011 Accepting new patients
Inpatient Consultants of Colorado, PC Internal Medicine Past Accepting new patients
Greenville Kidney Center, PA Past Accepting new patients

Locations

2000 S Colorado Blvd
Ste 420
Denver, CO 80222
Phone (720) 524-1550

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

1500 W Mineral Ave
Littleton, CO 80120
Phone (303) 450-2700

150 Spring St
Morrison, CO 80465
Phone (303) 697-8181

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1346352457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 70TH AVE STE 300",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344632",
            "telephone_number": "970-810-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 70TH AVE STE 300",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-810-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAULIEU",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "60066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.