NPIMap

Individual provider Active NPI

Andrea Katherine Mytinger, DO

  • Critical Care Medicine (Internal Medicine) Physician
  • Lakewood, CO
National Provider Identifier
1720495203
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
DR.0065414 Issued in CO
Practice address
274 Union Blvd Ste 110
Lakewood, CO 80228
Phone
(303) 951-0600
Fax
(303) 951-0605
NPI assigned
Jul 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 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 0065414 CO
Student in an Organized Health Care Education/Training Program 390200000X NM
Critical Care Medicine (Internal Medicine) Physician 207RC0200X DR.0065414 CO Primary
Pulmonary Disease Physician 207RP1001X DR.0065414 CO

Addresses

Primary practice location

274 Union Blvd Ste 110
Lakewood, CO 80228

Mailing address

274 Union Blvd Ste 110
Lakewood, CO 80228-1836
Phone (303) 951-0600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712002658 CO Practitioner - Pulmonary Disease 0547574568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Western University of Health Sciences College of Dental Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

274 Union Blvd
Suite 200
Lakewood, CO 80228-1835
Phone (303) 951-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.27 of 100Reported as group
Quality
80.01
Promoting interoperability
100
Improvement activities
40
Cost
77.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0065414COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Pulmonary and Sleep Associates Professional LLP Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Critical Care Pulmonary and Sleep Associates Professional LLP Critical Care Medicine CurrentSince Jun 8, 2025 Accepting new patients

Locations

274 Union Blvd
Ste 200
Lakewood, CO 80228
Phone (303) 778-5666

274 Union Blvd
Ste 110
Lakewood, CO 80228
Phone (720) 536-2100

Organizations & group practices 2

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1720495203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 UNION BLVD STE 110",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281836",
            "telephone_number": "303-951-0600",
            "fax_number": "303-951-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 UNION BLVD STE 110",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80228",
            "telephone_number": "303-951-0600",
            "fax_number": "303-951-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYTINGER",
        "first_name": "ANDREA",
        "middle_name": "KATHERINE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "0065414",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CO",
            "license": "DR.0065414",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "DR.0065414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.