NPIMap

Individual provider Active NPI

Patrick Dewey Webb, M.D.

  • Gastroenterology Physician
  • Fort Collins, CO
National Provider Identifier
1851447668
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD2017-0242 Issued in NM
Practice address
3702 S Timberline Rd Ste a
Fort Collins, CO 80525-3625
Phone
(970) 207-9773
Fax
(970) 484-8667
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01062030A IN
Gastroenterology Physician 207RG0100X MD2017-0242 NM Primary

Addresses

Primary practice location

3702 S Timberline Rd Ste a
Fort Collins, CO 80525-3625

Mailing address

5202 Marigot PL
San Diego, CA 92124-2120

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
I20180619000871 CO Practitioner - Gastroenterology 0749546877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Loyola University of Chicago, Stritch School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for GastroenterologyGroup PAC ID 9537059555, 38 clinicians

Practice addresses (Care Compare)

3702 S Timberline Rd
Suite a
Fort Collins, CO 80525-3625
Phone (970) 207-9773

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy138
Upper gastrointestinal (GI) endoscopy for acid reflux286

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01062030AINMDInternal Medicine Physician
MD2017-0242NMMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Gastroenterology Gastroenterology CurrentSince Aug 1, 2018 Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

3702 S Timberline Rd
Ste A
Fort Collins, CO 80525
Phone (970) 207-9773

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1851447668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 MARIGOT PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 S TIMBERLINE RD STE A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253625",
            "telephone_number": "970-207-9773",
            "fax_number": "970-484-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "PATRICK",
        "middle_name": "DEWEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01062030A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "MD2017-0242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.