NPIMap

Individual provider Active NPI

Courtney Todd Tripp, DO

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
National Provider Identifier
1003809567
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0049439 Issued in CO
Practice address
3050 Richfield Dr
Colorado Springs, CO 80919-4535
Phone
(719) 445-2282
NPI assigned
Aug 30, 2005
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OS010785L PA
Diagnostic Radiology Physician 2085R0202X 51776 CO
Diagnostic Radiology Physician 2085R0202X DR.0049439 CO Primary
Diagnostic Radiology Physician 2085R0202X 20A10752 CA

Addresses

Primary practice location

3050 Richfield Dr
Colorado Springs, CO 80919-4535

Mailing address

3050 Richfield Dr
Colorado Springs, CO 80919-4535
Phone (719) 445-2282

Other identifiers 2

IdentifierTypeStateIssuer
DR.0049439OtherCOCOLORADO LICENSE
OS14907OtherFLFLORIDA LICENSE

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
I20140610000863 CO Practitioner - Diagnostic Radiology 9133259393 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plains Radiology Services LLCGroup PAC ID 1850453432, 61 clinicians
Great Plains Radiology LLCGroup PAC ID 2062310899, 39 clinicians
Grand Island Radiology Associates PCGroup PAC ID 7719978261, 44 clinicians

Practice addresses (Care Compare)

3050 Richfield Dr
Colorado Springs, CO 80919-4535
Phone (308) 398-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A10752CAMDDiagnostic Radiology Physician
51776COMDDiagnostic Radiology Physician
OS010785LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plains Radiology Services LLC Diagnostic Radiology CurrentSince May 13, 2024 Accepting new patients
Great Plains Radiology LLC Diagnostic Radiology CurrentSince May 13, 2024 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jan 13, 2018 Accepting new patients
Grand Island Radiology Associates PC Diagnostic Radiology CurrentSince May 13, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 29, 2018 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 29, 2018 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology Past Accepting new patients
Comanche County Hospital Authority Southwest Radiology Diagnostic Radiology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/acf4b954-5b17-47d8-9d5a-ae7d4cae4b35/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/russell-f201c259

Organizations & group practices 10

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 5

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1003809567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 RICHFIELD DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194535",
            "telephone_number": "719-445-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 RICHFIELD DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194535",
            "telephone_number": "719-445-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "COURTNEY",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS010785L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "51776",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0049439",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A10752",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "DR.0049439",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "OS14907",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.