NPIMap

Individual provider Active NPI

Andrew H Kalajian, M.D.

  • Procedural Dermatology Physician
  • Fort Collins, CO
National Provider Identifier
1831239094
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
48187 Issued in CO
Practice address
1100 Poudre River Dr
Fort Collins, CO 80524-3557
Phone
(970) 484-3050
Fax
(970) 484-6908
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 41638 KY
MOHS-Micrographic Surgery Physician 207ND0101X ME94256 FL
Procedural Dermatology Physician 207NS0135X 48187 CO Primary
Dermatology Physician 207N00000X 41638 KY
Dermatology Physician 207N00000X ME94256 FL
Dermatology Physician 207N00000X 48187 CO
MOHS-Micrographic Surgery Physician 207ND0101X 48187 CO

Addresses

Primary practice location

1100 Poudre River Dr
Fort Collins, CO 80524-3557

Mailing address

1120 E Elizabeth St
Building G, Suite 2
Fort Collins, CO 80524-4044
Phone (970) 484-6303

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
I20100128000773 CO Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 2062589575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of South Florida College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Colorado PCGroup PAC ID 8325337330, 65 clinicians

Practice addresses (Care Compare)

1100 Poudre River Dr
Unit a
Fort Collins, CO 80524-3557
Phone (970) 484-3050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.78 of 100Reported as group
Quality
80
Promoting interoperability
84
Improvement activities
40
Cost
75.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions15
Removal of skin cancer1349
Skin biopsy69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48187COMDDermatology Physician
ME94256FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Colorado, PC Dermatology CurrentSince Feb 10, 2016 Accepting new patients
Associates in Dermatology, PLLC Dermatology PastSince May 1, 2016 Accepting new patients

Locations

1100 Poudre River Dr
Unit A
Fort Collins, CO 80524
Phone (970) 484-3078

1120 E Elizabeth St
Ste G2
Fort Collins, CO 80524
Phone (970) 443-8268

1120 E Elizabeth St
Ste 2
Fort Collins, CO 80524

Interoperability endpoints

  • Direct secure messaging: andrew.kalajian@adcs1.emadirect.md

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 and National Provider Directory roles.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1831239094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E ELIZABETH ST",
            "address_2": "BUILDING G, SUITE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244044",
            "telephone_number": "970-484-6303",
            "fax_number": "970-484-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 POUDRE RIVER DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243557",
            "telephone_number": "970-484-3050",
            "fax_number": "970-484-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAJIAN",
        "first_name": "ANDREW",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "KY",
            "license": "41638",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME94256",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CO",
            "license": "48187",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "41638",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME94256",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "48187",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "48187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.