Individual provider Active NPI

David W Niedermeier, M.D.

  • Family Medicine Physician
  • Steamboat Springs, CO
National Provider Identifier
1760683379
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46647 Issued in CO
Practice address
1475 Pine Grove Rd
Ste 102
Steamboat Springs, CO 80487-8803
Phone
(970) 879-0203
Fax
(970) 879-1389
NPI assigned
May 30, 2007
Last updated
Dec 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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 46647 CO Primary

Addresses

Primary practice location

1475 Pine Grove Rd
Ste 102
Steamboat Springs, CO 80487-8803

Mailing address

1475 Pine Grove Rd
Ste 102
Steamboat Springs, CO 80487-8803
Phone (970) 879-0203

Other identifiers 2

IdentifierTypeStateIssuer
07708548MedicaidCO
P00708577OtherCORAILROAD MEDICARE

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
I20090421000575 CO Practitioner - Family Practice 2466509864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Steamboat Medical Partners PCGroup PAC ID 0749179083, 10 clinicians

Practice addresses (Care Compare)

1475 Pine Grove Rd
Suite 102
Steamboat Springs, CO 80487-8851
Phone (970) 879-0203

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steamboat Medical Partners PC Family Medicine CurrentSince Sep 7, 2008 Accepting new patients
Steamboat Medical Partners PC Family Medicine Current Accepting new patients

Locations

1475 Pine Grove Rd
Ste 102
Steamboat Springs, CO 80487
Phone (970) 875-3470

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1760683379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 PINE GROVE RD",
            "address_2": "STE 102",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878803",
            "telephone_number": "970-879-0203",
            "fax_number": "970-879-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 PINE GROVE RD",
            "address_2": "STE 102",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878803",
            "telephone_number": "970-879-0203",
            "fax_number": "970-879-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDERMEIER",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "46647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07708548",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00708577",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

Verify at the official NPI Registry.