Organization Active NPI

Fort Collins Radiologic Associates PC

Doing business as Advanced Medical Imaging Consultants PC

  • Diagnostic Radiology Physician
  • Fort Collins, CO
National Provider Identifier
1003849498
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
FORT COLLINS RADIOLOGIC ASSOCIATES PC
Doing business as
Advanced Medical Imaging Consultants PC
Practice address
2008 Caribou Dr
Fort Collins, CO 80525-4325
Phone
(970) 484-4757
Fax
(970) 377-3386
NPI assigned
Jul 8, 2006
Last updated
May 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Authorized official

Name
Becky M Thompson
Title
Cfo/Coo
Phone
(970) 484-4757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

2008 Caribou Dr
Fort Collins, CO 80525-4325

Mailing address

2008 Caribou Dr
Fort Collins, CO 80525
Phone (970) 484-4757

Other names 1

  • Advanced Medical Imaging Consultants PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE, WY, NV, TX, UT, NM, GA, WA, IL10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20031217000768 CO Part B Supplier - Clinic/Group Practice 7315844396 Receives reassigned benefits from 60 practitioners
O20050105000449 NE Part B Supplier - Clinic/Group Practice 7315844396 Receives reassigned benefits from 4 practitioners
Practice locations: Bridgeport, NE; Kimball, NE; Sidney, NE
O20051008000201 WY Part B Supplier - Clinic/Group Practice 7315844396 Receives reassigned benefits from 36 practitioners
Practice locations: Laramie, WY
O20220303000681 NV Part B Supplier - Clinic/Group Practice 7315844396 Receives reassigned benefits from 3 practitioners
Practice locations: Boulder City, NV; Las Vegas, NV; Reno, NV
O20220623001446 TX Part B Supplier - Clinic/Group Practice 7315844396 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX; La Grange, TX; San Antonio, TX; Shavano Park, TX
O20230807000949 UT Part B Supplier - Clinic/Group Practice 7315844396 Receives reassigned benefits from 1 practitioner
Practice locations: Midway, UT; Park City, UT
O20230920000529 NM Part B Supplier - Clinic/Group Practice 7315844396 Receives reassigned benefits from 2 practitioners
Practice locations: Rio Rancho, NM; Santa Fe, NM
O20250304001281 GA Part B Supplier - Clinic/Group Practice 7315844396 Receives reassigned benefits from 1 practitioner
Practice locations: Dacula, GA
O20250528002320 WA Part B Supplier - Clinic/Group Practice 7315844396 Receives reassigned benefits from 1 practitioner
Practice locations: Bellingham, WA
O20251217001567 IL Part B Supplier - Clinic/Group Practice 7315844396 Receives reassigned benefits from 1 practitioner
Practice locations: Quincy, IL

National Provider Directory

National Provider Directory

Locations

2150 Garden of the Gods Rd
Colorado Springs, CO 80907

1221 E Elizabeth St
Fort Collins, CO 80524

1760 E Ken Pratt Blvd
Ste 202
Longmont, CO 80504
Phone (720) 718-5200

2500 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 493-7442

1313 S St
Bridgeport, NE 69336
Phone (308) 262-1616

645 Osage St
Ste 300
Sidney, NE 69162
Phone (308) 254-5825

3650 E Russell Rd
Las Vegas, NV 89120

1389 Center Dr
Ste 200
Park City, UT 84098
Phone (385) 220-5000

Practitioners & affiliated clinicians

Practitioners 80

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1003849498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 CARIBOU DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-484-4757",
            "fax_number": "970-484-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 CARIBOU DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254325",
            "telephone_number": "970-484-4757",
            "fax_number": "970-377-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT COLLINS RADIOLOGIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "970-484-4757"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Medical Imaging Consultants PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Medical Imaging Consultants PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.