Active NPI
Sam Anouna, M.D.
- Gastroenterology Physician
- Thornton, CO
National Provider Identifier
1639119365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 21935
- Practice address
- 10001 N Washington St
Thornton, CO 80229-2050 - Phone
- (303) 252-4442
- Fax
- (303) 429-6714
- NPI assigned
- Jun 8, 2006
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 21935 | CO | Primary |
Addresses
Primary practice location
10001 N Washington St
Thornton, CO 80229-2050
Mailing address
10403 W Colfax Ave Ste 630
Lakewood, CO 80215-3812
Phone (303) 205-1090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01219351 | Medicaid | CO | |
| 100008788 | Other | CO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21935 | CO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Gastroenterology Associates, PLLC | Gastroenterology | Current | Accepting new patients |
Locations
3333 S Wadsworth Blvd
Unit D100
Lakewood, CO 80227
355 Union Blvd
Ste 10
Lakewood, CO 80228
Phone (303) 689-8700
10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083
Interoperability endpoints
- samanouna@rmgpllc.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Lakewood, CO
- NPI 1669414272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1639119365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10403 W COLFAX AVE STE 630",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802153812",
"telephone_number": "303-205-1090",
"fax_number": "303-205-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 N WASHINGTON ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "802292050",
"telephone_number": "303-252-4442",
"fax_number": "303-429-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANOUNA",
"first_name": "SAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CO",
"license": "21935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01219351",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100008788",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
- Anesthesia Consulting Partners, PLLC
- Anesthesia Dynamics LLC
- Gerardo L Angulo, MED CACII
- Mary Jo Anleitner, P.T.
- Annest Synn Nowak & Mubarak Professional LLC (Vascular Institute of The Rockies)
- Susan C Anschuetz, MA, LMFT
- Apex Caring Services, LLC
- Georgann Louise Apgar, DMD
- Richard Joseph Apke, M.D.
- Elicia Apodaca
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.