Active NPI
Andy M. Fine, M.D., Inc
- Internal Medicine Physician
- Littleton, CO
National Provider Identifier
1508103961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34784
- Legal business name
- ANDY M. FINE, M.D., INC
- Practice address
- 20 W Dry Creek Cir
Littleton, CO 80120-4478 - Phone
- (303) 703-8583
- Fax
- (303) 703-9791
- NPI assigned
- Jan 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olga M Webber
- Title
- Practice Administrator
- Phone
- (303) 703-8583
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34784 | CO | Primary |
| Medical Physician Assistant | 363AM0700X | 3227 | CO |
Addresses
Primary practice location
20 W Dry Creek Cir
Littleton, CO 80120-4478
Mailing address
20 W Dry Creek Cir
Littleton, CO 80120-4478
Phone (303) 703-8583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42951836 | Medicaid | CO |
Other names 1
- Colorado Primary Health Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2106222 | Andy M Fine MD PC | Accreditation | Jun 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
7720 S Broadway
Ste G30
Littleton, CO 80122
Phone (303) 703-8583
20 W Dry Creek Cir
Littleton, CO 80120
Phone (303) 346-2443
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Littleton, CO
- NPI 1245261965
-
- Adult Health Nurse Practitioner
- Littleton, CO
- NPI 1346466869
-
- Physician Assistant
- Littleton, CO
- NPI 1114203379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700179200000",
"number": "1508103961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 W DRY CREEK CIR",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801204478",
"telephone_number": "303-703-8583",
"fax_number": "303-703-9791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W DRY CREEK CIR",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801204478",
"telephone_number": "303-703-8583",
"fax_number": "303-703-9791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDY M. FINE, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-04",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A",
"authorized_official_last_name": "WEBBER",
"authorized_official_first_name": "OLGA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "303-703-8583"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CO",
"license": "34784",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "3227",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42951836",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Colorado Primary Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.