Individual provider Active NPI

Edwin Anselmi, MD

  • Family Medicine Physician
  • Centennial, CO
National Provider Identifier
1790780989
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39788 Issued in CO
Practice address
7960 S University Blvd Ste 203
Centennial, CO 80122-3167
Phone
(720) 344-2680
Fax
(720) 344-2681
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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 39788 CO Primary

Addresses

Primary practice location

7960 S University Blvd Ste 203
Centennial, CO 80122-3167

Mailing address

7960 S University Blvd Ste 203
Centennial, CO 80122-3167
Phone (720) 344-2680

Other identifiers 1

IdentifierTypeStateIssuer
90677579MedicaidCO

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
I20040707001199 CO Practitioner - Family Practice 7012995004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Columbia University College of Physicians and Surgeons, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Our Lady of Hope Medical Clinic IncGroup PAC ID 9537446109, 4 clinicians

Practice addresses (Care Compare)

7960 S University Blvd
Suite 203
Centennial, CO 80122-3167
Phone 72034426801

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39788COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Physician Partners, PLLC Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Colorado Physician Partners, PLLC Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
HCA Healthone LLC Past Accepting new patients
Inpatient Consultants of Colorado, PC Family Medicine Past Accepting new patients
Inpatient Consultants of Colorado PC Family Medicine Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

7960 S University Blvd
Ste 203
Centennial, CO 80122
Phone (303) 869-2120

205 S Garrison St
Ste A
Lakewood, CO 80226
Phone (720) 728-5170

6169 S Balsam Way
Ste 190
Littleton, CO 80123
Phone (303) 933-8240

Interoperability endpoints

  • Direct secure messaging: edwin.anselmi@661508255186948.direct.elationemr.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1790780989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 S UNIVERSITY BLVD STE 203",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223167",
            "telephone_number": "720-344-2680",
            "fax_number": "720-344-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 S UNIVERSITY BLVD STE 203",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223167",
            "telephone_number": "720-344-2680",
            "fax_number": "720-344-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSELMI",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90677579",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.