NPIMap

Individual provider Active NPI

Emmett David Ratigan, MD

  • Nephrology Physician
  • Wheat Ridge, CO
National Provider Identifier
1003079583
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
54717 Issued in CO
Practice address
3550 Lutheran Pkwy
BLDG 10 Suite 200
Wheat Ridge, CO 80033-6017
Phone
(720) 536-2100
Fax
(720) 536-2090
NPI assigned
Jul 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 54717 CO Primary

Addresses

Primary practice location

3550 Lutheran Pkwy
BLDG 10 Suite 200
Wheat Ridge, CO 80033-6017

Mailing address

130 Rampart Way
Suite 300B
Denver, CO 80230-6440
Phone (303) 327-4700

Other identifiers 2

IdentifierTypeStateIssuer
411559YVBJOtherCOPTAN
55407251MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150528000121 CO Practitioner - NephrologyPractitioner - Internal Medicine 3072781806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Colorado School of Medicine, Denver, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intermountain Medical Group Grand Junction, LLCGroup PAC ID 3779707856, 297 clinicians

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

2635 N 7TH St
Grand Junction, CO 81501-8209

Hospital & facility affiliations

  • DaVita Mesa County Dialysis Dialysis facility, Grand Junction, CO, CCN 062567
  • DaVita Grand Junction Dialysis Center Dialysis facility, Grand Junction, CO, CCN 062553
  • DaVita Black Canyon Dialysis Dialysis facility, Montrose, CO, CCN 062569
  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023
  • Montrose Regional Health Hospital, Montrose, CO, CCN 060006
  • Delta County Memorial Hospital Hospital, Delta, CO, CCN 060071
  • Valley View Hospital Association Hospital, Glenwood Springs, CO, CCN 060075
  • Community Hospital Hospital, Grand Junction, CO, CCN 060054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54717COMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Sep 28, 2020 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Nephrology Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Sep 28, 2020 Accepting new patients
St Mary'S Hospital and Medical Center, Inc Nephrology Past Accepting new patients
St Mary'S Hospital and Medical Center, Inc Past Accepting new patients

Locations

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2643 Patterson Rd
Ste 405
Grand Junction, CO 81506
Phone (970) 256-0400

2635 N 7th St
Fl 4
Grand Junction, CO 81501
Phone (970) 244-2457

Interoperability endpoints

  • Direct secure messaging: eratigan144523@direct.intermountainhealth.org
  • FHIR API: https://api.platform.athenahealth.com/12539/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1215216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1003079583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RAMPART WAY",
            "address_2": "SUITE 300B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306440",
            "telephone_number": "303-327-4700",
            "fax_number": "303-327-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 LUTHERAN PKWY",
            "address_2": "BLDG 10 SUITE 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336017",
            "telephone_number": "720-536-2100",
            "fax_number": "720-536-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATIGAN",
        "first_name": "EMMETT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-05",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CO",
            "license": "54717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "411559YVBJ",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55407251",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.