ANTHONY R. DECLUSIN MD – NPI #1669977997
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

ANTHONY DECLUSIN is a psychiatry & neurologist located in LONGMONT, CO. NPPES has assigned the NPI number 1669977997 to ANTHONY DECLUSIN on March 28, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 3 years ago on Jul 06, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANTHONY DECLUSIN below.

NPI Profile for
ANTHONY R. DECLUSIN

NPI Number
1669977997
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ANTHONY R. DECLUSIN
Credentials
MD
Primary location
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501-3128
Phone: (720) 718-8070 Fax: (720) 494-3107
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jul 06, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ANTHONY DECLUSIN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCO9000163141
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)		 CO DR.0066615
208D00000X
- General Practice		 CO DR.0066615

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MEDICAL COLLEGE OF WISCONSIN - Graduated 2018
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ANTHONY DECLUSIN is affiliated with the following medical group(s):
  • HOSPITAL
    • UNIVERSITY OF COLORADO HOSPITAL AUTHORITY
      12605 E 16TH AVE
      AURORA, CO 80045

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.