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MEDICAL IMAGING OF COLORADO RADIOLOGY IMAGING ASSC PC ETAL PT
NPI 1336188234
Radiology - Diagnostic Radiology in Englewood, CO

Active since June 06, 2006CLIA 06D2337315 · Waiver
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112(303) 761-9190(720) 874-4462 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2022, Apr 9, 2021, Mar 19, 2021 and 3 more (6 updates tracked since 2016).

About Medical Imaging Of Colorado Radiology Imaging Assc Pc Etal Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL IMAGING OF COLORADO RADIOLOGY IMAGING ASSC PC ETAL PT (NPI 1336188234) is a healthcare organization registered as a diagnostic radiology in Englewood, Colorado and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 20, 2028, maintains a secondary practice location in Greenwood Village, and lists Juanita Schmucker, Revenue Cycle Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1336188234
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMEDICAL IMAGING OF COLORADO RADIOLOGY IMAGING ASSC PC ETAL PT
Location Address10800 E GEDDES AVE STE 300Englewood, CO 80112-3895
Mailing Address10800 E Geddes AveEnglewood, CO 80112-3894 · (303) 761-9190 · Fax (720) 874-4462
Phone(303) 761-9190
Fax(720) 874-4462
Organization SubpartNo
Authorized OfficialJuanita SchmuckerRevenue Cycle Billing Manager · (720) 493-3712
Enumeration DateJune 6, 2006
Last NPPES UpdateMay 23, 20246 updates tracked since enumeration
NPPES CertifiedMay 23, 2024
✔ NPI 1336188234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
10800 E GEDDES AVE STE 300, Englewood, CO 80112
Open in Google Maps ↗

Secondary Practice Location 1

Location 18200 E Belleview Ave Ste 200EGreenwood Village, CO 80111-2857 · Phone (720) 493-3200 · Fax (303) 741-4813

Other Identifiers 10

Medicaid100370940AKS
Medicaid123484600WY
OtherCO1190Healthnet Ne Mic
Other18062Pres Salud Medicaid Mic
Medicaid4007803CO
Other5797650Aetna Mic
OtherMEW4008Bcbs Mic
Other8489712601Pacificare Mic
OtherCC8768Rr Medicare Mic
Medicaid074088801TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Imaging Of Colorado Radiology Imaging Assc Pc Etal Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

168

Medicare enrollment records show 168 clinicians reassign Medicare billing to Medical Imaging Of Colorado Radiology Imaging Assc PC Etal Pt, which bills Medicare for the services they deliver. Of these, 100 practice at this address and 134 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Diagnostic Radiology135
Interventional Radiology23
Nurse Practitioner7
Internal Medicine1
Neurosurgery1
Nuclear Medicine1

Nearest to this location (20)

See all 168
Aria Bagheri, MD
Diagnostic Radiology
NPI 1649769969
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Benjamin Ball, MD
Diagnostic Radiology
NPI 1346731445
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Ray Bradford, MD
Interventional Radiology
NPI 1518287176
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Matthew Brown, M.D.
Interventional Radiology
NPI 1891011383
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Jason Carroll, M.D.
Diagnostic Radiology
NPI 1033417571
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Christopher Ebersole, DO
Diagnostic Radiology
NPI 1225288038
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Matthew Genet, MD
Interventional Radiology
NPI 1851765440
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Matthew Gipson, MD
Interventional Radiology
NPI 1255431235
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Juan Gomez, M.D.
Interventional Radiology
NPI 1437335833
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Tyler Green, MD
Interventional Radiology
NPI 1780849620
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Timothy Hagan
Diagnostic Radiology
NPI 1346747383
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Tina Harsh, N.P.
Nurse Practitioner
NPI 1659644763
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Anthony Hasselbach, M.D.
Diagnostic Radiology
NPI 1184982167
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Orlin Hopper, MD
Diagnostic Radiology
NPI 1144294752
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Todd Kooy, MD
Interventional Radiology
NPI 1104938208
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Patricia Petrosky, NP
Nurse Practitioner
NPI 1720485725
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Gerald Riccardello, MD
Internal Medicine
NPI 1326524141
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Joseph Tan, M.D.
Nuclear Medicine
NPI 1588872303
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Laura Villasenor, FNP-BC
Nurse Practitioner
NPI 1104170323
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
Kevin Kilpatrick
Nurse Practitioner
NPI 1699512756
10800 E GEDDES AVE STE 300
Englewood, CO 80112
(303) 761-9190
✔ PECOS✔ Accepts MedicareSame address
See all 168 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2337315

Medical Imaging Of Colorado Dba Invision Sally Jobe · Colorado Springs, CO
Active · expires Jan 20, 2028
CLIA Number06D2337315
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorBrendan F. Essary
Laboratory Phone(303) 761-9190
Laboratory LocationMedical Imaging Of Colorado Dba Invision Sally Jobe9681 Prominent Point Ste 130, Colorado Springs, CO 80924
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Imaging Of Colorado Radiology Imaging Assc PC Etal Pt's NPI number?

The NPI number for Medical Imaging Of Colorado Radiology Imaging Assc PC Etal Pt is 1336188234. It was assigned to this organization in the NPPES registry on June 6, 2006.

Where is Medical Imaging Of Colorado Radiology Imaging Assc PC Etal Pt located?

Medical Imaging Of Colorado Radiology Imaging Assc PC Etal Pt is located at 10800 E Geddes Ave Ste 300, Englewood, CO 80112. The listed phone number is (303) 761-9190.

What is Medical Imaging Of Colorado Radiology Imaging Assc PC Etal Pt's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Medical Imaging Of Colorado Radiology Imaging Assc PC Etal Pt enrolled in Medicare?

Yes. Medical Imaging Of Colorado Radiology Imaging Assc PC Etal Pt is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Imaging Of Colorado Radiology Imaging Assc PC Etal Pt?

According to the CMS Revalidation Reassignment List (October 2026 release), 168 clinicians in 6 Medicare specialties reassign their Medicare billing to Medical Imaging Of Colorado Radiology Imaging Assc PC Etal Pt. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (135), Interventional Radiology (23) and Nurse Practitioner (7). Of these, 100 practice at this address and 134 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medical Imaging Of Colorado Radiology Imaging Assc PC Etal Pt hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2337315) is associated with this NPI, valid through January 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Imaging Of Colorado Radiology Imaging Assc PC Etal Pt was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.