Individual provider Active NPI

Andrea L Ryan, DO

  • Hospitalist Physician
  • Durango, CO
National Provider Identifier
1427019215
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DR.0042273 Issued in CO
Practice address
1010 Three Springs Blvd
Durango, CO 81301-8296
Phone
(970) 764-3352
Fax
(970) 764-3375
NPI assigned
Mar 31, 2006
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 42273 CO
Hospitalist Physician 208M00000X DR.0042273 CO Primary

Addresses

Primary practice location

1010 Three Springs Blvd
Durango, CO 81301-8296

Mailing address

1010 Three Springs Blvd
Durango, CO 81301-8296
Phone (970) 764-3352

Other practice location 1

15 W Dry Creek Cir
Littleton, CO 80120-4427
Phone (303) 952-1100

Other identifiers 1

IdentifierTypeStateIssuer
43750109MedicaidCO

Other names 1

  • Andrea L Needham Former 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701001504 CO Practitioner - HospitalistPractitioner - Internal Medicine 9931186400 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42273COMDInternal Medicine Physician
DR.0042273COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Hospitalist CurrentSince Aug 1, 2019 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Portercare Adventist Health System Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Inpatient Consultants of Colorado PC Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Inpatient Consultants of Colorado PC Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Aug 1, 2019 Accepting new patients
Portercare Adventist Health System CurrentSince Aug 1, 2019 Accepting new patients
Inpatient Consultants of Colorado, PC Internal Medicine Past Accepting new patients

Locations

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

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

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

1010 Three Springs Blvd
Durango, CO 81301
Phone (970) 247-4311

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

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

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

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1427019215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 THREE SPRINGS BLVD",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018296",
            "telephone_number": "970-764-3352",
            "fax_number": "970-764-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 THREE SPRINGS BLVD",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018296",
            "telephone_number": "970-764-3352",
            "fax_number": "970-764-3375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 W Dry Creek Cir",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801204427",
            "country_code": "US",
            "telephone_number": "303-952-1100",
            "fax_number": "720-287-3183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ANDREA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "42273",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0042273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43750109",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "NEEDHAM",
            "middle_name": "L",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.