Jeremiah John Andersen, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Loveland, CO
NPI 1831246719 · NPPES record last updated Feb 20, 2020
Key facts
- NPI
- 1831246719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- DR.0056105 (CO)
- Practice address
- 5802 Wright Dr
Loveland, CO 80538-8806 - Phone
- (970) 212-0530
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Pathology
Practice addresses (Care Compare)
1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone (970) 495-8740
1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-6724
2000 Boise Ave
Loveland, CO 80538-5006
Phone (970) 820-6571
2301 House Ave
Suite 108
Cheyenne, WY 82001-3177
Phone (970) 212-0530
5802 Wright Dr
Loveland, CO 80538-8806
Phone (970) 212-0530
615 Fairhurst St
Sterling, CO 80751-4523
Phone (970) 521-3160
6767 W 29TH St
Greeley, CO 80634-5474
Phone (970) 652-2080
Hospital & facility affiliations
- Sterling Regional Medcenter
- Banner North Colorado Medical Center
- Banner Fort Collins Medical Center
- Uchealth Greeley Hospital
- Banner Wyoming Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.38 of 100
- Quality
- 74.56
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, WY
- 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 |
|---|---|---|---|---|
| I20160414000268 | CO | Practitioner - Pathology | 2163522624 | Reassigns benefits to 1 organization |
| I20201203002999 | WY | Practitioner - Pathology | 2163522624 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Pathology | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Summit Pathology | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| Summit Pathology | Current | Accepting new patients | |
| Summit Pathology | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| Colorado Pathology Consultants PC | Past | Accepting new patients | |
| Summit Pathology | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Summit Pathology | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
6767 29th St
Greeley, CO 80634
Phone (970) 652-2000
2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071
2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425
2500 Rocky Mountain Ave
Ste 200
Loveland, CO 80538
Phone (970) 297-6425
5802 Wright Dr
Loveland, CO 80538
Phone (800) 927-6227
615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322
2301 House Ave
Cheyenne, WY 82001
Phone (307) 632-9261
2301 House Ave
Ste 105
Cheyenne, WY 82001
Phone (307) 634-9238
2301 House Ave
Ste 108
Cheyenne, WY 82001
Phone (307) 274-3057
255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | DR.0056105 | CO | Yes |
Addresses
Primary practice location
5802 Wright Dr
Loveland, CO 80538-8806
Mailing address
5802 Wright Dr
Loveland, CO 80538-8806
Phone (970) 212-0530
Other providers in Loveland, CO
- Joseph Elliott Anderle
- Brooke Leigh Anders
- Aubrey Andersen
- Dennis Lee Andersen
- Jenna Andersen
- Barbara A. Anderson
- Daniel A. Anderson
- Eric Anderson
- Lindsey E Anderson
- Lisa Murphy Anderson
All providers in Loveland, CO · Anatomic Pathology & Clinical Pathology 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 Feb 20, 2020. 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.