Eric P Ahnfeldt, D.O.
Individual provider Active NPI Surgery Physician · Fort Carson, CO
NPI 1790729473 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1790729473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- DR.0058352 (CO)
- Practice address
- 1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604 - Phone
- (719) 524-4166
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Health Physicians Colorado LLC
Practice addresses (Care Compare)
1405 S 8TH Ave
Suite 101
Sterling, CO 80751-4560
Phone (970) 522-2264
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170711000215 | CO | Practitioner - General Surgery | 3274798053 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 482 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Health Physicians Colorado LLC | Current |
Accepting new patients | |
| North Platte Nebraska Physician Group LLC | Surgery | Past | Accepting new patients |
Locations
1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
1405 S 8th Ave
Ste 101
Sterling, CO 80751
Phone (970) 522-2264
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DR.0058352 | CO | Yes |
Addresses
Primary practice location
1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604
Mailing address
5005 N Piedras St
El Paso, TX 79920-5002
Phone (915) 742-1983
Other providers in Fort Carson, CO
- Ach Evans-Carson
- Rina Ackerman
- Jesse Joseph Adamson
- Riane Addie
- David Kelly Adkinson
- Sakirat Oluwatosin Akadri
- Jeffrey Thomas Alden Jr.
- Syed Mosab Ali
- Gail Ann Allen
- Sharon M Allen
All providers in Fort Carson, CO · Surgery Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.