Active NPI
Steven Alan Yarberry, MD
- Family Medicine Physician
- Vail, CO
National Provider Identifier
1598759540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24126
- Practice address
- 181 W Meadow Dr
800 C/O Lisa Kerstiens Credentialing
Vail, CO 81657-5242 - Phone
- (970) 476-5695
- Fax
- (970) 476-8976
- NPI assigned
- Sep 6, 2005
- Last updated
- Dec 16, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24126 | CO | Primary |
Addresses
Primary practice location
181 W Meadow Dr
800 C/O Lisa Kerstiens Credentialing
Vail, CO 81657-5242
Mailing address
PO Box 1749
C/O Lisa Kerstiens - Credentialing
Edwards, CO 81632-1749
Phone (970) 926-6340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01241264 | Medicaid | CO |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24126 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Mountain Medical, LLC | Family Medicine | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Avon, CO
- NPI 1730747445
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1598759540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1749",
"address_2": "C/O LISA KERSTIENS - CREDENTIALING",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816321749",
"telephone_number": "970-926-6340",
"fax_number": "970-926-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W MEADOW DR",
"address_2": "800 C/O LISA KERSTIENS CREDENTIALING",
"city": "VAIL",
"state": "CO",
"postal_code": "816575242",
"telephone_number": "970-476-5695",
"fax_number": "970-476-8976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARBERRY",
"first_name": "STEVEN",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "24126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01241264",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.