Individual provider Active NPI

Andrew Loughlin Martin, M.D.

  • Ophthalmology Physician
  • Denver, CO
National Provider Identifier
1881796563
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
39468 Issued in CO
Practice address
4999 E Kentucky Ave
Suite 200
Denver, CO 80246-3901
Phone
(303) 758-1611
Fax
(303) 758-3687
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 39468 CO Primary

Addresses

Primary practice location

4999 E Kentucky Ave
Suite 200
Denver, CO 80246-3901

Mailing address

4999 E Kentucky Ave
Suite 200
Denver, CO 80246-3901
Phone (303) 758-1611

Other identifiers 2

IdentifierTypeStateIssuer
39468OtherCOLICENSE
00403547MedicaidCO

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
I20070306000653 CO Practitioner - Ophthalmology 4183620966 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39468COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Eye Care, PC Ophthalmology CurrentSince Mar 1, 2021 Accepting new patients
Aurora Eye Physicians PC Ophthalmology Past Accepting new patients
Mile High Retina, PLLC Ophthalmology PastSince Jan 1, 2021 Accepting new patients
Coco Eye Surgery Consulting, PLLC Ophthalmology PastSince Apr 8, 2017 Accepting new patients

Locations

4999 E Kentucky Ave
Ste 102
Denver, CO 80246
Phone (303) 388-2401

4999 E Kentucky Ave
Ste 200
Denver, CO 80246
Phone (303) 691-0777

Organizations & group practices 4

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1881796563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 E KENTUCKY AVE",
            "address_2": "SUITE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463901",
            "telephone_number": "303-758-1611",
            "fax_number": "303-758-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 E KENTUCKY AVE",
            "address_2": "SUITE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463901",
            "telephone_number": "303-758-1611",
            "fax_number": "303-758-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANDREW",
        "middle_name": "LOUGHLIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "39468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "39468",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00403547",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.