Ann Mac Donald Imhof, MD
Individual provider Active NPI Family Medicine Physician · Thornton, CO
NPI 1922054790 · NPPES record last updated Oct 14, 2020
Key facts
- NPI
- 1922054790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 40988 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 10
Medicare Care Compare profile
- 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 PLLC
Practice addresses (Care Compare)
2200 E 104TH Ave
Suite 115
Thornton, CO 80233-4402
Phone (303) 452-2766
Hospital & facility affiliations
- Centura Health-St Anthony North Health Campus
- HCA Healthone Mountain Ridge
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120918000110 | CO | Practitioner - Family Practice | 4486821063 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Medical Group Colorado PLLC | Family Medicine | Current |
Accepting new patients |
| Colorado Physician Partners, PLLC | Family Medicine | Current |
Accepting new patients |
| Colorado Physician Partners, PLLC | Family Medicine | Current |
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
- annimhof@cpp.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40988 | CO | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56121873 | Medicaid | CO |
Other providers in Thornton, CO
- Catherine Ianni-Schlecht
- Ias Colorado PLLC
- Idea-Thornton
- Summer Ikenouye
- Image of God Home Care Providers LLC
- Robin Imhoff
- In-Home Therapy & Concierge Service
- Infinity Imaging LLC
- Infusion for Health, P.C.
- Infusion for Health, P.C.
All providers in Thornton, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.