Active NPI
Richard Alan Patt, M.D.
- Family Medicine Physician
- Aurora, CO
National Provider Identifier
1679640080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19036
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01190362 | Medicaid | CO |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19036 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New West Physicians Inc | Family Medicine | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.