Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Landrey Fagan, MD

Individual provider Family Medicine Physician · NPI 1548423817

Landrey Fagan, MD is a Hospitalist in Boulder, Colorado. Graduated from Georgetown University School of Medicine in 2008, 18 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Massachusetts.

Years since qualifying
18
Trained at
Georgetown University School of Medicine
Licensed in
CO, MA
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3434 47th St Ste 225
Boulder, CO 80301-1880
Phone: (720) 792-2852
Fax: (303) 586-7592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1950 Mountain View Ave, Longmont, CO 80501-3129 — (303) 651-5111

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DR.0060345 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence DR0060345 (CO)
Hospitalist Physician Taxonomy 208M00000X · Licence DR.0060345 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 246674 (MA)

Record details

NPI number1548423817
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2008
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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