Active NPI
Craig S Anderson, MD
- Internal Medicine Physician
- Denver, CO
National Provider Identifier
1477541365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23416
- Practice address
- 2490 W 26TH Ave BLDG a
Suite 300
Denver, CO 80211-5314 - Phone
- (303) 831-9393
- Fax
- (303) 468-9280
- NPI assigned
- Oct 13, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23416 | CO | Primary |
Addresses
Primary practice location
2490 W 26TH Ave BLDG a
Suite 300
Denver, CO 80211-5314
Mailing address
2490 W 26TH Ave BLDG a
Suite 300
Denver, CO 80211-5314
Phone (303) 831-9393
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19988206 | Medicaid | CO | |
| 348308 | Other | CO | MEDICARE GROUP PTAN |
| C811604 | Other | CO | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23416 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthone Clinic Services - Occupational Medicine LLC | Past | Accepting new patients |
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.
-
- Clinic/Center
- Denver, CO
- NPI 1558547646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1477541365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 W 26TH AVE BLDG A",
"address_2": "SUITE 300",
"city": "DENVER",
"state": "CO",
"postal_code": "802115314",
"telephone_number": "303-831-9393",
"fax_number": "303-468-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 W 26TH AVE BLDG A",
"address_2": "SUITE 300",
"city": "DENVER",
"state": "CO",
"postal_code": "802115314",
"telephone_number": "303-831-9393",
"fax_number": "303-468-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CRAIG",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "23416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19988206",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "348308",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "C811604",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.