Individual provider Active NPI

Richard Alan Patt, M.D.

  • Family Medicine Physician
  • Aurora, CO
National Provider Identifier
1679640080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19036 Issued in CO
Practice address
1421 S Potomac St
Suite 320
Aurora, CO 80012-4535
Phone
(303) 750-1920
Fax
(303) 750-0483
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19036 CO Primary

Addresses

Primary practice location

1421 S Potomac St
Suite 320
Aurora, CO 80012-4535

Mailing address

1421 S Potomac St
Suite 320
Aurora, CO 80012-4535
Phone (303) 750-1920

Other identifiers 1

IdentifierTypeStateIssuer
01190362MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100322000218 CO Practitioner - Internal MedicinePractitioner - Family Practice 3173515269 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19036COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New West Physicians Inc Family Medicine CurrentSince Nov 29, 2022 Accepting new patients

Locations

7950 Kipling St
Ste 101
Arvada, CO 80005
Phone (303) 425-4680

1421 S Potomac St
Ste 320
Aurora, CO 80012
Phone (303) 750-1920

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679640080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST",
            "address_2": "SUITE 320",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124535",
            "telephone_number": "303-750-1920",
            "fax_number": "303-750-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST",
            "address_2": "SUITE 320",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124535",
            "telephone_number": "303-750-1920",
            "fax_number": "303-750-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATT",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "19036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01190362",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.