Individual provider Active NPI

Andrew B. Ziller

  • Emergency Medicine Physician
  • Denver, CO
National Provider Identifier
1528046638
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0029691 Issued in CO
Practice address
4567 E. 9TH Avenue
Denver, CO 80220-5337
Phone
(303) 320-2455
Fax
(303) 306-7753
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 29691 CO
Emergency Medicine Physician 207P00000X DR.0029691 CO Primary

Addresses

Primary practice location

4567 E. 9TH Avenue
Denver, CO 80220-5337

Mailing address

PO Box 173862
Denver, CO 80217-3862
Phone (303) 306-7783

Other identifiers 2

IdentifierTypeStateIssuer
930041495OtherCORAILROAD MEDICARE
01296912MedicaidCO

Other names 1

  • Andrew B. Ziller Professional 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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100428000214 CO Practitioner - Emergency Medicine 0345377149 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29691COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint P.C. Emergency Medicine CurrentSince Sep 1, 1996 Accepting new patients
Carepoint Emergency Medicine, PLLC Emergency Medicine CurrentSince Jan 7, 2016 Accepting new patients

Locations

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

9141 Grant St
Ste B40
Thornton, CO 80229
Phone (303) 453-2554

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1528046638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173862",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173862",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4567 E. 9TH AVENUE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802205337",
            "telephone_number": "303-320-2455",
            "fax_number": "303-306-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILLER",
        "first_name": "ANDREW",
        "middle_name": "B.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "29691",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0029691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930041495",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01296912",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "ZILLER",
            "middle_name": "B.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.