NPIMap

Individual provider Active NPI

Robert Carl Enguidanos, M.D.

  • Hospitalist Physician
  • Fort Collins, CO
National Provider Identifier
1518952811
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DR.0054760 Issued in CO
Practice address
2637 Midpoint Dr Ste B
Fort Collins, CO 80525-4408
Phone
(970) 488-1666
NPI assigned
Sep 13, 2005
Last updated
Nov 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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 DR.0054760 CO
Hospitalist Physician 208M00000X DR.0054760 CO Primary

Addresses

Primary practice location

2637 Midpoint Dr Ste B
Fort Collins, CO 80525-4408

Mailing address

2637 Midpoint Dr Ste B
Fort Collins, CO 80525-4408
Phone (970) 488-1666

Other identifiers 3

IdentifierTypeStateIssuer
10025520600MedicaidNE
53875729MedicaidCO
P01430249OtherCORR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150218000367 CO Practitioner - HospitalistPractitioner - Internal Medicine 3173591567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of California, San Diego School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Colorado Hospitalists Professional LLCGroup PAC ID 8325147507, 85 clinicians

Practice addresses (Care Compare)

1024 S Lemay Ave
Poudre Valley Hospital
Fort Collins, CO 80524-3929
Phone (970) 495-7142

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.23 of 100Reported as group
Quality
87
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Hospice Internal Medicine Current Accepting new patients
Pathways Hospice CurrentSince Apr 23, 2024 Accepting new patients
Pathways Hospice Internal Medicine CurrentSince Apr 23, 2024 Accepting new patients
Northern Colorado Hospitalists Professional LLC Hospitalist CurrentSince Feb 1, 2015 Accepting new patients
Sun Health Corporation Past Accepting new patients
Medical Center of the Rockies Past Accepting new patients
Poudre Valley Health Care Inc. Past Accepting new patients
Uchealth Greeley Hospital Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients

Locations

8289 E Lowry Blvd
Denver, CO 80230
Phone (303) 321-2828

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

1236 E Elizabeth St
Ste 3
Fort Collins, CO 80524
Phone (970) 488-1666

2637 Midpoint Dr
Ste B
Fort Collins, CO 80525
Phone (970) 488-1640

305 Carpenter Rd
Fort Collins, CO 80525
Phone (970) 663-3500

317 Carpenter Rd
Fort Collins, CO 80525
Phone (970) 663-3500

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

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.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1518952811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 MIDPOINT DR STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254408",
            "telephone_number": "970-488-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 MIDPOINT DR STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254408",
            "telephone_number": "970-488-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGUIDANOS",
        "first_name": "ROBERT",
        "middle_name": "CARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0054760",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0054760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025520600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53875729",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01430249",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.