Mitchell D. Achee, M.D.

Individual provider Active NPI Diagnostic Radiology Physician · Lakewood, CO

NPI 1598891244 · NPPES record last updated Jun 22, 2021

Key facts

NPI
1598891244
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
24435 (CO)
Practice address
1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208
Phone
(303) 914-8800
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24435COMDDiagnostic Radiology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 24435 CO Yes

Addresses

Primary practice location

1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208

Mailing address

1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208
Phone (303) 914-8800

Other practice location 1

10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-4545

Other identifiers

IdentifierTypeStateIssuer
003941OtherCOKAISER COMMERCIAL NUMBER
01244359MedicaidCO

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Other providers in Lakewood, CO

All providers in Lakewood, CO · Diagnostic Radiology Physician in Colorado

Sources for this page

Verify at the official NPI Registry.