NPIMap

Individual provider Active NPI

Ann Mac Donald Imhof, MD

  • Family Medicine Physician
  • Thornton, CO
National Provider Identifier
1922054790
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40988 Issued in CO
Practice address
2200 East 104 Avenue
Suite 115
Thornton, CO 80233
Phone
(303) 452-2766
Fax
(303) 252-8694
NPI assigned
May 25, 2006
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40988 CO Primary

Addresses

Primary practice location

2200 East 104 Avenue
Suite 115
Thornton, CO 80233

Mailing address

2200 E 104TH Ave Ste 115
Thornton, CO 80233-4402
Phone (303) 466-1341

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
I20120918000110 CO Practitioner - Family Practice 4486821063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Medical Group Colorado PLLCGroup PAC ID 1759743347, 101 clinicians

Practice addresses (Care Compare)

2200 E 104TH Ave
Suite 115
Thornton, CO 80233-4402
Phone (303) 452-2766

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Physician Partners, PLLC Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
Alpine Medical Group Colorado PLLC Family Medicine CurrentSince Oct 3, 2023 Accepting new patients
Colorado Physician Partners, PLLC Family Medicine CurrentSince Jan 1, 2019 Accepting new patients

Locations

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

205 S Garrison St
Ste A
Lakewood, CO 80226
Phone (720) 728-5170

6169 S Balsam Way
Ste 190
Littleton, CO 80123
Phone (303) 933-8240

11990 Grant St
Ste 302
Northglenn, CO 80233
Phone (303) 452-2766

2200 E 104th Ave
Ste 115
Thornton, CO 80233
Phone (303) 452-2766

Interoperability endpoints

  • Direct secure messaging: annimhof@cpp.allscriptsdirect.net

Organizations & group practices 3

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1922054790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E 104TH AVE STE 115",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334402",
            "telephone_number": "303-466-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 EAST 104 AVENUE",
            "address_2": "SUITE 115",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80233",
            "telephone_number": "303-452-2766",
            "fax_number": "303-252-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMHOF",
        "first_name": "ANN",
        "middle_name": "MAC DONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "40988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.