Active NPI
Michael Willig, MD
- Family Medicine Physician
- Denver, CO
National Provider Identifier
1639253156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25546
- Practice address
- 3464 S Willow St
Suite 853
Denver, CO 80231-4531 - Phone
- (303) 755-2900
- NPI assigned
- Oct 24, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25546 | CO | Primary |
Addresses
Primary practice location
3464 S Willow St
Suite 853
Denver, CO 80231-4531
Mailing address
1421 S Potomac St Ste 210
Suite 240
Aurora, CO 80012-4512
Phone (303) 923-3831
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WI96971 | Other | CO | BLUE SHIELD |
| 01255462 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041115001058 | CO | Practitioner - Family Practice | 5597729004 | Practice locations: Aurora, CO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25546 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB-GYN Affiliates | 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 and National Provider Directory roles.
-
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- Littleton, CO
- NPI 1134185721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376611200000",
"number": "1639253156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 S POTOMAC ST STE 210",
"address_2": "SUITE 240",
"city": "AURORA",
"state": "CO",
"postal_code": "800124512",
"telephone_number": "303-923-3831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3464 S WILLOW ST",
"address_2": "SUITE 853",
"city": "DENVER",
"state": "CO",
"postal_code": "802314531",
"telephone_number": "303-755-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIG",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2013-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "25546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "WI96971",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01255462",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.