NPIMap

Individual provider Active NPI

David Michael Lorah, MD

  • Family Medicine Physician
  • Glenwood Springs, CO
National Provider Identifier
1780767996
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44102 Issued in CO
Practice address
1830 Blake Ave
Glenwood Springs, CO 81601
Phone
(970) 945-8503
Fax
(970) 945-0253
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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 44102 CO Primary

Addresses

Primary practice location

1830 Blake Ave
Glenwood Springs, CO 81601

Mailing address

1830 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 945-8503

Other identifiers 2

IdentifierTypeStateIssuer
C805192OtherCOPTAN
03729702MedicaidCO

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
I20060417000651 CO Practitioner - Family Practice 2769491968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glenwood Medical Associates PCGroup PAC ID 6901798404, 16 clinicians

Practice addresses (Care Compare)

1830 Blake Ave
Glenwood Springs, CO 81601-4275

406 Hyland Park Dr
Suite F
Glenwood Springs, CO 81601-4270
Phone (970) 945-0506

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions15
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

State licenses

LicenseStateTypeSpecialty
44102COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenwood Medical Associates PC Family Medicine CurrentSince Mar 20, 2006 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Glenwood Medical Assoc Family Medicine CurrentSince Mar 20, 2006 Accepting new patients
GMJM, LLC Past Accepting new patients

Locations

1830 Blake Ave
Ste 102
Glenwood Springs, CO 81601
Phone (970) 945-0253

1830 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 945-8503

406 Hyland Park Dr
Ste F
Glenwood Springs, CO 81601
Phone (970) 379-2093

Interoperability endpoints

  • Direct secure messaging: vvh_him@direct.vvh.org

Organizations & group practices 4

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 8

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1780767996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "81601",
            "telephone_number": "970-945-8503",
            "fax_number": "970-945-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "81601",
            "telephone_number": "970-945-8503",
            "fax_number": "970-945-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORAH",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "44102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "C805192",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03729702",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.