Individual provider Active NPI

Martha Anne Lynch-Biasi, MD

  • Internal Medicine Physician
  • Evergreen, CO
National Provider Identifier
1699986877
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32792 Issued in CO
Practice address
30415 Telluride LN
Evergreen, CO 80439-9564
Phone
(303) 679-9615
NPI assigned
May 27, 2007
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32792 CO Primary

Addresses

Primary practice location

30415 Telluride LN
Evergreen, CO 80439-9564

Mailing address

30415 Telluride LN
Evergreen, CO 80439-9564
Phone (303) 679-9615

Other identifiers 1

IdentifierTypeStateIssuer
01327923MedicaidCO

Other names 1

  • Martha Anne Lynch Professional name

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
I20040629000221 CO Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Peripheral Vascular Disease 1951387042 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32792COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Oct 23, 2017 Accepting new patients
La Clinica Tepeyac, Inc CurrentSince Apr 14, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC Internal Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 1, 2016 Accepting new patients
La Clinica Tepeyac, Inc CurrentSince Apr 14, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 1, 2016 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

12021 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 348-1900

1960 N Ogden St
Ste 110
Denver, CO 80218
Phone (303) 318-2460

2101 E 48th Ave
Denver, CO 80216
Phone (303) 458-5302

5075 Lincoln St
Denver, CO 80216
Phone (303) 458-5302

4725 High St
Denver, CO 80216
Phone (720) 274-2923

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500

1900 W Littleton Blvd
Littleton, CO 80120
Phone 41550438389238

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1180224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1699986877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30415 TELLURIDE LN",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399564",
            "telephone_number": "303-679-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30415 TELLURIDE LN",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399564",
            "telephone_number": "303-679-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH-BIASI",
        "first_name": "MARTHA",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-27",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "32792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01327923",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "LYNCH",
            "middle_name": "ANNE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Evergreen, CO

Sources for this page

Verify at the official NPI Registry.