Active NPI
Ananya Guha, M.D.
- Pediatrics Physician
- Canon City, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DR.0054382
- Practice address
- 1338 Phay Ave BLDG D
Canon City, CO 81212-2326 - Phone
- (719) 285-2091
- Fax
- (719) 285-2092
- NPI assigned
- Jun 29, 2007
- Last updated
- Aug 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DR.0054382 | CO | Primary |
| Pediatrics Physician | 208000000X | RS20070322 | NM |
Addresses
Primary practice location
1338 Phay Ave BLDG D
Canon City, CO 81212-2326
Mailing address
1338 Phay Ave BLDG D
Canon City, CO 81212-2326
Phone (719) 285-2091
Other names 1
- Ananya Guha Lusero
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 |
|---|---|---|---|
| DR.0054382 | CO | MD | Pediatrics Physician |
| RS20070322 | NM | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients |
Locations
1335 Phay Ave
Ste A
Canon City, CO 81212
Phone (719) 275-4151
614 Yale Pl
Canon City, CO 81212
Phone (719) 275-4151
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1699972992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1338 PHAY AVE BLDG D",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812122326",
"telephone_number": "719-285-2091",
"fax_number": "719-285-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1338 PHAY AVE BLDG D",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812122326",
"telephone_number": "719-285-2091",
"fax_number": "719-285-2092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUHA",
"first_name": "ANANYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0054382",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "RS20070322",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANANYA",
"last_name": "LUSERO",
"middle_name": "GUHA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.