Active NPI
Jonathan Andrick, M.D.
- Emergency Medicine Physician
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 53415
- Practice address
- 11600 W 2ND PL
Lakewood, CO 80228-1527 - Phone
- (303) 202-1280
- Fax
- (434) 922-4118
- NPI assigned
- Apr 5, 2011
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 53415 | CO | Primary |
Addresses
Primary practice location
11600 W 2ND PL
Lakewood, CO 80228-1527
Mailing address
PO Box 5788
Denver, CO 80217-5788
Phone (303) 202-1280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, TX, MI, KS, CA, AZ, MS, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140718000188 | CO | Practitioner - Emergency Medicine | 5294963153 | Reassigns benefits to 1 organization |
| I20231023003570 | TX | Practitioner - Emergency Medicine | 5294963153 | Reassigns benefits to 1 organization |
| I20250711000286 | MI | Practitioner - Emergency Medicine | 5294963153 | Reassigns benefits to 1 organization |
| I20250711000457 | KS | Practitioner - Emergency Medicine | 5294963153 | Reassigns benefits to 1 organization |
| I20250717002747 | CA | Practitioner - Emergency Medicine | 5294963153 | Reassigns benefits to 1 organization |
| I20251202002435 | AZ | Practitioner - Emergency Medicine | 5294963153 | Reassigns benefits to 1 organization |
| I20260605003742 | MS | Practitioner - Emergency Medicine | 5294963153 | Reassigns benefits to 1 organization |
| I20260610001185 | SD | Practitioner - Emergency Medicine | 5294963153 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Chicago, Pritzker School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Doctor on Demand Professionals of CaliforniaDoctor on Demand Professionals P C
Practice addresses (Care Compare)
1 California St
Suite 2300
San Francisco, CA 94111-5424
Phone (800) 997-6196
1900 W Littleton Blvd
Littleton, CO 80120-2023
Phone (800) 997-6196
211 E 7TH St
Suite 620
Austin, TX 78701-3218
Phone (800) 997-6196
601 Abbot Rd
East Lansing, MI 48823-3366
Phone (800) 997-6196
8825 N 23Rd Ave
Suite 100
Phoenix, AZ 85021-4148
Phone (800) 997-6196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53415 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Current | Accepting new patients | |
| Doctor on Demand Professionals of Kansas, P.a. | Emergency Medicine | Current | Accepting new patients |
Locations
8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
275 Battery St
Ste 650
San Francisco, CA 94111
Phone 4155043838104
1900 W Littleton Blvd
Littleton, CO 80120
Phone 41550438389238
2900 SW Wanamaker Dr
Ste 204
Topeka, KS 66614
Phone (415) 742-8411
601 Abbott Rd
East Lansing, MI 48823
Phone 24852821166
211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411
Interoperability endpoints
- jonathan.andrick.1@30520.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1174931448
CO, MI, MS, SD, TX
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1346658614
AZ, CA
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1881477339
Emergency Medicine, KS
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1376832873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5788",
"city": "DENVER",
"state": "CO",
"postal_code": "802175788",
"telephone_number": "303-202-1280"
},
{
"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": "303-202-1280",
"fax_number": "434-922-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRICK",
"first_name": "JONATHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-05",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "53415",
"primary": true
}
],
"identifiers": [],
"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 Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.