Active NPI
Christopher Offutt, DPM
- Foot & Ankle Surgery Podiatrist
- Alamosa, CO
National Provider Identifier
1902976566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 00513
- Practice address
- 2415 Mullins Ave
Alamosa, CO 81101-4274 - Phone
- (719) 587-0330
- Fax
- (719) 587-0440
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | C50583 | CO | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 00513 | CO | Primary |
Addresses
Primary practice location
2415 Mullins Ave
Alamosa, CO 81101-4274
Mailing address
2415 Mullins Ave
Alamosa, CO 81101-4274
Phone (719) 587-0330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01005131 | Medicaid | CO |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081105000574 | CO | Practitioner - Podiatry | 3678632650 | Practice locations: Alamosa, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2415 Mullins Ave
Alamosa, CO 81101-4274
Phone (719) 587-0330
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 179 |
| Removal of skin lesions | 333 |
| Removal of nail tissue | 393 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00513 | CO | MD | Foot & Ankle Surgery Podiatrist |
| C50583 | CO | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher T Offutt | Single Specialty | Current | Accepting new patients |
| Mountain Air Oxygen Service, Inc. | Past | Accepting new patients |
Locations
2415 Mullins Ave
Alamosa, CO 81101
Phone (719) 587-0330
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 and National Provider Directory roles.
-
- Oxygen Equipment & Supplies (DME)
- Alamosa, CO
- NPI 1164429650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1902976566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 MULLINS AVE",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811014274",
"telephone_number": "719-587-0330",
"fax_number": "719-587-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 MULLINS AVE",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811014274",
"telephone_number": "719-587-0330",
"fax_number": "719-587-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFFUTT",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CO",
"license": "C50583",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CO",
"license": "00513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01005131",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.