Individual provider Active NPI

Zachary John Engelbert, D.O

  • Family Medicine Physician
  • Littleton, CO
National Provider Identifier
1740508365
Registry record updated Jun 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0053541 Issued in CO
Practice address
7761 Shaffer Pkwy Ste 225
Littleton, CO 80127
Phone
(303) 932-2988
NPI assigned
May 6, 2010
Last updated
Jun 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0053541 CO Primary

Addresses

Primary practice location

7761 Shaffer Pkwy Ste 225
Littleton, CO 80127

Mailing address

1805 Shea Center Dr Ste 301
Highlands Ranch, CO 80129-2251
Phone (303) 357-2559

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
I20150202001857 CO Practitioner - Family Practice 7315190485 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0053541COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Medical Clinic LLC CurrentSince Jan 23, 2019 Accepting new patients
Our Lady of Hope Medical Clinic Inc. PastSince Nov 14, 2014 Accepting new patients
South Central Colfax County Special Hospital District PastSince Dec 1, 2024 Accepting new patients

Locations

1101 Oakridge Dr
Unit B
Fort Collins, CO 80525
Phone (970) 223-1199

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18545/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529712000000",
    "number": "1740508365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 301",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292251",
            "telephone_number": "303-357-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7761 SHAFFER PKWY STE 225",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80127",
            "telephone_number": "303-932-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELBERT",
        "first_name": "ZACHARY",
        "middle_name": "JOHN",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2018-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0053541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.