Individual provider Active NPI

Michael Martucci, MD

  • Allergy & Immunology Physician
  • Fort Collins, CO
National Provider Identifier
1942415369
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
DR.0048242 Issued in CO
Practice address
2121 E Harmony Rd Unit 290
Fort Collins, CO 80528-3402
Phone
(970) 221-2370
Fax
(970) 221-9654
NPI assigned
May 11, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 9767A WY
Allergy & Immunology Physician 207K00000X DR.0048242 CO Primary

Addresses

Primary practice location

2121 E Harmony Rd Unit 290
Fort Collins, CO 80528-3402

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other practice location 1

6252 Yellowstone Rd
Cheyenne, WY 82009-3432
Phone (307) 778-2015

Other identifiers 5

IdentifierTypeStateIssuer
135469800MedicaidWY
391620ZMHCOtherCOMEDICARE PTAN
10027065300MedicaidNE
30928371MedicaidCO
W27146OtherWYMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120726000633 CO Practitioner - Allergy/Immunology 5395901813 Reassigns benefits to 1 organization
I20140903001016 WY Practitioner - Allergy/Immunology 5395901813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Colorado School of Medicine, Denver, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6252 Yellowstone Rd
Cheyenne, WY 82009-3432
Phone (307) 778-2015

6801 W 20TH St
Unit 202
Greeley, CO 80634-9640
Phone (970) 330-5391

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0048242COMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Partners of Colorado, PC Allergy & Immunology CurrentSince Mar 16, 2015 Accepting new patients
Allergy Partners of Colorado PC Allergy & Immunology CurrentSince Mar 16, 2015 Accepting new patients

Locations

2121 E Harmony Rd
Unit 290
Fort Collins, CO 80528
Phone (970) 221-2370

2121 E Harmony Rd
Unit 350
Fort Collins, CO 80528
Phone (970) 221-2370

1130 38th Ave
Greeley, CO 80634
Phone (970) 330-5391

6801 W 20th St
Unit 202
Greeley, CO 80634
Phone (970) 330-5391

6252 Yellowstone Rd
Cheyenne, WY 82009
Phone (307) 778-2015

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.

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1942415369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 290",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283402",
            "telephone_number": "970-221-2370",
            "fax_number": "970-221-9654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6252 Yellowstone Rd",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820093432",
            "country_code": "US",
            "telephone_number": "307-778-2015",
            "fax_number": "307-778-7060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTUCCI",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2026-09-29",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WY",
            "license": "9767A",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "DR.0048242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135469800",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "391620ZMHC",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10027065300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30928371",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W27146",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.