Individual provider Active NPI

Michael W Hanson, MD

  • Anesthesiology Physician
  • Pueblo, CO
National Provider Identifier
1437166923
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
27748 Issued in CO
Practice address
916 Indiana Ave Ste 120
Pueblo, CO 81004-3572
Phone
(719) 296-5841
Fax
(719) 542-0746
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 27748 CO Primary

Addresses

Primary practice location

916 Indiana Ave Ste 120
Pueblo, CO 81004-3572

Mailing address

PO Box 570
Pueblo, CO 81002-0570
Phone (719) 296-5840

Other identifiers 4

IdentifierTypeStateIssuer
050051083OtherRR MEDICARE
PH18408OtherBCBS
CH6461OtherRR MEDICARE - GROUP
01277482MedicaidCO

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
I20110831000381 CO Practitioner - Anesthesiology 8426228453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at Houston, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians

Practice addresses (Care Compare)

1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone (719) 557-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27748COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Colorado Inc. Anesthesiology CurrentSince Jun 20, 2025 Accepting new patients
Physician Anesthesia of Pueblo, PC Anesthesiology CurrentSince Nov 1, 1995 Accepting new patients
C. Glen Ferguson D.O. P.C. Anesthesiology Past Accepting new patients

Locations

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

3676 Parker Blvd
Pueblo, CO 81008
Phone (719) 253-7000

3902 Sandalwood Ln
Unit 120
Pueblo, CO 81005
Phone (719) 296-5841

916 Indiana Ave
Ste 120
Pueblo, CO 81004
Phone (719) 296-5841

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

Interoperability endpoints

  • FHIR API: https://fhir.healthtogo.me/fhir/r4/criterions.phyanesthesia

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1437166923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810020570",
            "telephone_number": "719-296-5840",
            "fax_number": "719-542-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 INDIANA AVE STE 120",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043572",
            "telephone_number": "719-296-5841",
            "fax_number": "719-542-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "27748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050051083",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PH18408",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - GROUP",
            "identifier": "CH6461",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01277482",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.