Jeremiah John Andersen, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

DR.0056105 Issued in CO

Practice address

5802 Wright Dr
Loveland, CO 80538-8806

Phone

(970) 212-0530

NPI assigned

Jan 4, 2007

Last updated

Feb 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, WY2 enrollments

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 2

Specialty

Pathology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit PathologyGroup PAC ID 3971595968, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sterling Regional Medcenter Hospital, Sterling, CO, CCN 060076
• Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001
• Banner Fort Collins Medical Center Hospital, Fort Collins, CO, CCN 060126
• Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131
• Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012

Merit-based Incentive Payment System (MIPS)

Final score

78.38 of 100Reported as group

Quality

74.56

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Loveland, CO
  • NPI 1912966458
  Medicare reassignment NPD
• Summit Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Cheyenne, WY
  • NPI 1164020715
  Medicare reassignment NPD
• Summit Pathology

  • Clinical Medical Laboratory
  • Loveland, CO
  • NPI 1396971123
  NPD
• Summit Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Laramie, WY
  • NPI 1700523131
  NPD
• Colorado Pathology Consultants PC

  • Clinical Medical Laboratory
  • Denver, CO
  • NPI 1952373953
  NPD (past)
• Summit Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Collins, CO
  • NPI 1356088751
  NPD (past)
• Summit Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Loveland, CO
  • NPI 1427797034
  NPD (past)

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

• Banner Health

  dba Banner Fort Collins Medical Center

  • General Acute Care Hospital
  • Fort Collins, CO
  • NPI 1659787554
  Care Compare affiliation
• North Colorado Medical Center

  • General Acute Care Hospital
  • Loveland, CO
  • NPI 1174231682
  Care Compare affiliation
• North Colorado Medical Center

  • Critical Access Hospital
  • Greeley, CO
  • NPI 1255971404
  Care Compare affiliation
• North Colorado Medical Center

  • Ambulance
  • Greeley, CO
  • NPI 1457850430

  Hospital

  Care Compare affiliation
• North Colorado Medical Center

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1477376986
  Care Compare affiliation
• North Colorado Medical Center

  • Special Hospital
  • Loveland, CO
  • NPI 1487535431
  Care Compare affiliation
• North Colorado Medical Center

  • Critical Access Hospital
  • Greeley, CO
  • NPI 1578103750
  Care Compare affiliation
• North Colorado Medical Center

  • Emergency Care Clinic/Center
  • Greeley, CO
  • NPI 1588928519

  Hospital

  Care Compare affiliation
• North Colorado Medical Center

  • Infusion Therapy Clinic/Center
  • Loveland, CO
  • NPI 1700668183

  Hospital

  Care Compare affiliation
• North Colorado Medical Center

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1720004450
  Care Compare affiliation
• North Colorado Medical Center

  • Critical Access Hospital
  • Greeley, CO
  • NPI 1831739267
  Care Compare affiliation
• North Colorado Medical Center

  • Ambulance
  • Greeley, CO
  • NPI 1861989212

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1831246719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 WRIGHT DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388806",
            "telephone_number": "970-212-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 WRIGHT DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388806",
            "telephone_number": "970-212-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "JEREMIAH",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "DR.0056105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Elliott Anderle
• Brooke Leigh Anders, PA
• Aubrey Andersen, M.T.
• Dennis Lee Andersen, DMD
• Jenna Andersen, MS, OTR/L
• Barbara A. Anderson, M.A.
• Daniel A. Anderson, PH.D.
• Eric Anderson
• Lindsey E Anderson, PT, DPT
• Lisa Murphy Anderson, D.D.S.

• Anatomic Pathology & Clinical Pathology Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• Anatomic Pathology & Clinical Pathology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.