Individual provider Active NPI

Kevin K Johnson, MD

  • Diagnostic Radiology Physician
  • Englewood, CO
National Provider Identifier
1003878448
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29383 Issued in CO
Practice address
501 E Hampden Ave
Englewood, CO 80113-2702
Phone
(303) 761-9190
Fax
(720) 874-4462
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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 25044 NE
Diagnostic Radiology Physician 2085R0202X 04-36659 KS
Diagnostic Radiology Physician 2085R0202X 17551 HI
Diagnostic Radiology Physician 2085R0202X 29383 CO Primary

Addresses

Primary practice location

501 E Hampden Ave
Englewood, CO 80113-2702

Mailing address

10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Phone (303) 761-9190

Other identifiers 23

IdentifierTypeStateIssuer
300049154OtherCORR RIA MEDICARE
200425020AMedicaidKS
300090607OtherCORR DIA MEDICARE
053221001OtherTXTX MEDICAID
104686220OtherMIMI MEDICAID
01293836MedicaidCO
1003878448MedicaidMO
1003878448MedicaidUT
84-059792913MedicaidNE
1003878448MedicaidWY
1003878448MedicaidMT
1003878448MedicaidNV
200427030AMedicaidOK
2192451MedicaidLA
418800MedicaidAZ
XPY204569OtherCACA MEDICAID
10025709000MedicaidNE
003135486AOtherGAGA MEDICAID
02300136OtherNYNY MEDICAID
1679513196MedicaidUT
300090599OtherCORR MIC MEDICARE
P00720354OtherNERR MCR NE
7617652MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090406000446 CO Practitioner - Diagnostic Radiology 3577610708 Reassigns benefits to 8 organizations
I20130910000836 KS Practitioner - Diagnostic Radiology 3577610708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Un of California, Irvine, College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Radiologic Associates LTDGroup PAC ID 0941190953, 91 clinicians
Radiology Imaging Associates PCGroup PAC ID 2860391257, 147 clinicians
Banner Imaging Services Colorado LLCGroup PAC ID 7416377270, 90 clinicians
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians

Practice addresses (Care Compare)

10107 Ridgegate Pkwy
Suite 110
Lone Tree, CO 80124-5638
Phone (720) 493-3539

10800 E Geddes Ave
Suite 300
Englewood, CO 80112-3895
Phone (303) 761-9190

1400 S Potomac St
Aurora, CO 80012-5411
Phone (720) 493-3388

1900 Boise Ave
Suite 110
Loveland, CO 80538-5004
Phone (970) 810-6070

200 Exempla Cir
Exempla Good Samaritian Medical Center
Lafayette, CO 80026-3370
Phone (303) 689-4000

2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (720) 455-5000

2525 S Downing St
Portercare Hospital
Denver, CO 80210-5817
Phone (303) 778-5626

2525 S Downing St FL
Suite 3
Denver, CO 80210-5817
Phone (303) 715-7373

2555 E 13TH St
Suite 100
Loveland, CO 80537-5134
Phone (970) 810-6070

3001 Ave a
Dodge City, KS 67801-2270
Phone (620) 225-8400

7700 S Broadway
Littleton Hospital
Littleton, CO 80122-2602
Phone (303) 730-5880

8200 Southpark Ter
Littleton, CO 80120-5614
Phone (720) 493-3251

875 W 136TH Ave
100 Uchealth Imaging SVCS Broomfield
Broomfield, CO 80023-9303
Phone (303) 457-7700

9051 SSG Chris Falkel Dr
Suite 100
Highlands Ranch, CO 80129-3189
Phone (720) 516-0683

9395 Crown Crest Blvd
Parker, CO 80138-8573
Phone (303) 761-9190

Hospital & facility affiliations

  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • AdventHealth Porter Hospital, Denver, CO, CCN 060064
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112
  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

Merit-based Incentive Payment System (MIPS)

Final score
70.7 of 100Reported as group
Quality
65.53
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17551HIMDLicensed Practical Nurse
29383COMDDiagnostic Radiology Physician
04-36659KSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Diagnostic Radiology CurrentSince Jun 1, 1989 Accepting new patients
Banner Imaging Services Colorado LLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Hawaii Radiologic Associates, LTD. Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Apr 24, 2017 Accepting new patients
Banner Imaging Services Colorado LLC CurrentSince Oct 1, 2020 Accepting new patients
Dodge City Diagnostic, LLC CurrentSince Jan 2, 2018 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Diagnostic Imaging Associates Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients

Locations (25 of 26)

1400 S Potomac St
Ste 180
Aurora, CO 80012
Phone (303) 695-2603

1400 S Potomac St
Ste 180B
Aurora, CO 80012

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

9681 Prominent Pt
Ste 130
Colorado Springs, CO 80924
Phone (719) 600-3700

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

2055 N High St
Ste 180
Denver, CO 80205
Phone (303) 839-7490

601 E Hampden Ave
Ste 110
Englewood, CO 80113
Phone (303) 788-4312

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

701 E Hampden Ave
Ste 110
Englewood, CO 80113
Phone (303) 515-2023

10800 E Geddes Ave
Ste 300
Englewood, CO 80112
Phone (303) 791-9190

10700 E Geddes Ave
Ste 200
Englewood, CO 80112

400 Indiana St
Ste 130
Golden, CO 80401
Phone (720) 493-3411

8200 E Belleview Ave
Ste 124C
Greenwood Village, CO 80111
Phone (720) 493-3272

8200 E Belleview Ave
Ste 200E
Greenwood Village, CO 80111
Phone (303) 850-3200

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

707 N Iowa St
Gunnison, CO 81230
Phone (970) 641-1771

6169 S Balsam Way
Ste 170
Littleton, CO 80123
Phone (303) 841-3100

8200 Southpark Ter
Littleton, CO 80120
Phone (720) 493-3251

10450 Park Meadows Dr
Ste 105
Lone Tree, CO 80124
Phone (303) 925-0075

10107 Ridgegate Pkwy
Ste 110
Lone Tree, CO 80124
Phone (720) 493-3539

2555 E 13th St
Ste 100
Loveland, CO 80537
Phone (970) 461-6193

1900 Boise Ave
Ste 110
Loveland, CO 80538
Phone (970) 810-6070

12219 Pine Bluffs Way
Ste 111
Parker, CO 80134

82 Puuhonu Pl
Ste 102
Hilo, HI 96720
Phone (808) 961-4745

670 Ponahawai St
Ste 110
Hilo, HI 96720
Phone (808) 933-2540

Organizations & group practices 26

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.

View all 26

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1003878448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 E GEDDES AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123895",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
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            "postal_code": "801132702",
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            "fax_number": "720-874-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEVIN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
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    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.