NPIMap

Individual provider Active NPI

Andreas Mykoniatis, MD

  • Hospitalist Physician
  • Denver, CO
National Provider Identifier
1679784979
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
56350 Issued in CO
Practice address
1719 E 19TH Ave
Im Hospitalist
Denver, CO 80218-1235
Phone
(720) 754-2296
Fax
(844) 669-1725
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036119322 IL
Internal Medicine Physician 207R00000X DR.0056350 CO
Hospitalist Physician 208M00000X 036119322 IL
Hospitalist Physician 208M00000X 56350 CO Primary

Addresses

Primary practice location

1719 E 19TH Ave
Im Hospitalist
Denver, CO 80218-1235

Mailing address

5600 S Quebec Street
Suite 312a
Greenwood Villiage, CO 80111-2208
Phone (720) 754-2296

Other identifiers 2

IdentifierTypeStateIssuer
58685057MedicaidCO
F400291996OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101228001000 IL Practitioner - HospitalistPractitioner - Internal Medicine 3274721790 Reassigns benefits to 1 organization
I20161019000939 CO Practitioner - HospitalistPractitioner - Internal Medicine 3274721790 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carepoint Hospital Medicine PLLCGroup PAC ID 4688939903, 28 clinicians
Hospital Medicine Services of Colorado, LLCGroup PAC ID 9133631351, 73 clinicians

Practice addresses (Care Compare)

1719 E 19TH Ave
Presbyterian St Luke's Hospitalist
Denver, CO 80218-1235
Phone (303) 839-7111

501 E Hamden Ave
Englewood, CO 80113-2702
Phone (303) 788-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56350COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of Colorado, LLC Hospitalist CurrentSince Jun 1, 2025 Accepting new patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince Dec 23, 2024 Accepting new patients
KND Development 59, LLC Hospitalist Current Accepting new patients
Carepoint Hospital Medicine, PLLC Hospitalist CurrentSince Jun 1, 2018 Accepting new patients
The University of Chicago Medical Center CurrentSince Apr 1, 2011 Accepting new patients
KND Development 59, LLC Hospitalist CurrentSince Jul 1, 2020 Accepting new patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince Dec 23, 2024 Accepting new patients
KND Development 59, LLC Hospitalist CurrentSince Jul 1, 2020 Accepting new patients
Carepoint Hospital Medicine, PLLC Hospitalist CurrentSince Jun 1, 2018 Accepting new patients
The University of Chicago Medical Center CurrentSince Apr 1, 2011 Accepting new patients
HCA Healthone LLC Past Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

700 Potomac St
Fl 2
Aurora, CO 80011
Phone (319) 273-8992

900 Potomac St
Aurora, CO 80011
Phone (303) 363-5333

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

1920 N High St
Denver, CO 80218
Phone (303) 220-9948

1721 E 19th Ave
Ste 520
Denver, CO 80218
Phone (303) 839-6741

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

5600 S Quebec St
Ste 312A
Greenwood Village, CO 80111
Phone (303) 343-6272

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 12

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1679784979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 S QUEBEC STREET",
            "address_2": "SUITE 312A",
            "city": "GREENWOOD VILLIAGE",
            "state": "CO",
            "postal_code": "801112208",
            "telephone_number": "720-754-2296",
            "fax_number": "844-669-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 E 19TH AVE",
            "address_2": "IM HOSPITALIST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181235",
            "telephone_number": "720-754-2296",
            "fax_number": "844-669-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYKONIATIS",
        "first_name": "ANDREAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036119322",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0056350",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036119322",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "56350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58685057",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F400291996",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.