Individual provider Active NPI

Sandra Loftin, MD

  • Psychiatry Physician
  • Denver, CO
National Provider Identifier
1902943277
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
43990 Issued in CO
Practice address
4155 E Jewell Ave
Suite 1004
Denver, CO 80222-4504
Phone
(303) 993-5288
NPI assigned
Jan 30, 2007
Last updated
Feb 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 43990 CO Primary

Addresses

Primary practice location

4155 E Jewell Ave
Suite 1004
Denver, CO 80222-4504

Mailing address

4155 E Jewell Ave
Suite 1004
Denver, CO 80222-4504
Phone (303) 993-5288

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
I20070711000160 CO Practitioner - Psychiatry 4082714704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Emory University School of Medicine, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4155 E Jewell Ave
Suite 1004
Denver, CO 80222-4514
Phone (303) 993-5288

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43990COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sandra Loftin MD LLC CurrentSince Feb 14, 2022 Accepting new patients
Lola Sober Living LLC Past Accepting new patients

Locations

4155 E Jewell Ave
Ste 1004
Denver, CO 80222
Phone (303) 521-9681

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1902943277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 E JEWELL AVE",
            "address_2": "SUITE 1004",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224504",
            "telephone_number": "303-993-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 E JEWELL AVE",
            "address_2": "SUITE 1004",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224504",
            "telephone_number": "303-993-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTIN",
        "first_name": "SANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "43990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.