NPIMap

Individual provider Active NPI

Bruce E Andrea, M.D.

  • Cardiovascular Disease Physician
  • Durango, CO
National Provider Identifier
1609841949
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
33644 Issued in CO
Practice address
1201 Main Ave
Suite 203
Durango, CO 81301-5260
Phone
(970) 403-0555
Fax
(970) 403-0557
NPI assigned
Feb 21, 2006
Last updated
Mar 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 33644 CO Primary

Addresses

Primary practice location

1201 Main Ave
Suite 203
Durango, CO 81301-5260

Mailing address

1201 Main Ave
Suite 203
Durango, CO 81301-5260
Phone (970) 403-0555

Other identifiers 1

IdentifierTypeStateIssuer
01336445MedicaidCO

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
I20050928001204 CO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4385687110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Geisel School of Medicine at Dartmouth, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1201 Main Ave
Durango, CO 81301-5161
Phone (970) 403-0555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
39.48 of 100Reported as individual
Quality
42.14
Improvement activities
0
Cost
75.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33644COMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Heart Clinic Cardiovascular Disease Past Accepting new patients

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1609841949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MAIN AVE",
            "address_2": "SUITE 203",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015260",
            "telephone_number": "970-403-0555",
            "fax_number": "970-403-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MAIN AVE",
            "address_2": "SUITE 203",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015260",
            "telephone_number": "970-403-0555",
            "fax_number": "970-403-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREA",
        "first_name": "BRUCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "33644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01336445",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.