Individual provider Active NPI

Joseph E Lotterhos Jr., M.D.

  • Family Medicine Physician
  • Usaf Academy, CO
National Provider Identifier
1588864748
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2008-01708 Issued in NC
Practice address
4102 Pinion Dr
Usaf Academy, CO 80840-2502
Phone
(719) 333-5950
NPI assigned
Jul 24, 2007
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2008-01708 NC Primary

Addresses

Primary practice location

4102 Pinion Dr
Usaf Academy, CO 80840-2502

Mailing address

4102 Pinion Dr
Usaf Academy, CO 80840-2502
Phone (719) 333-5950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 TH Medical Group
4102 Pinion Drive
Usaf Academy, CO 80840-2502

8880 W Sunset Rd
Suite 320
Las Vegas, NV 89148-5007

Nellis Family Medicine
4700 Las Vegas N Blvd
Las Vegas, NV 89191-6600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18605NVMDPharmacist
2008-01708NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medinix Medical Services Singh PLLC Family Medicine CurrentSince Jan 11, 2024 Accepting new patients
Apollocare Partners of Nevada, Inc. PastSince Jan 4, 2026 Accepting new patients

Locations

1321 S Rainbow Blvd
Ste 101
Las Vegas, NV 89146
Phone (702) 476-2287

2354 E Bonanza Rd
Las Vegas, NV 89101
Phone (702) 399-9161

2810 W Charleston Blvd
Ste E48
Las Vegas, NV 89102
Phone (702) 870-8994

3115 S Eastern Ave
Las Vegas, NV 89169
Phone (702) 463-1804

5915 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118
Phone (702) 362-9930

8420 S Eastern Ave
Ste 101
Las Vegas, NV 89123
Phone (702) 385-6468

8880 W Sunset Rd
Ste 320
Las Vegas, NV 89148
Phone (702) 476-2287

9300 Sun City Blvd
Ste 101
Las Vegas, NV 89134
Phone (702) 341-9400

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

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1588864748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 PINION DR",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 PINION DR",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTTERHOS",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2008-01708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Usaf Academy, CO

Sources for this page

Verify at the official NPI Registry.