Active NPI
Kevin K Johnson, MD
- Diagnostic Radiology Physician
- Englewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 29383
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300049154 | Other | CO | RR RIA MEDICARE |
| 200425020A | Medicaid | KS | |
| 300090607 | Other | CO | RR DIA MEDICARE |
| 053221001 | Other | TX | TX MEDICAID |
| 104686220 | Other | MI | MI MEDICAID |
| 01293836 | Medicaid | CO | |
| 1003878448 | Medicaid | MO | |
| 1003878448 | Medicaid | UT | |
| 84-059792913 | Medicaid | NE | |
| 1003878448 | Medicaid | WY | |
| 1003878448 | Medicaid | MT | |
| 1003878448 | Medicaid | NV | |
| 200427030A | Medicaid | OK | |
| 2192451 | Medicaid | LA | |
| 418800 | Medicaid | AZ | |
| XPY204569 | Other | CA | CA MEDICAID |
| 10025709000 | Medicaid | NE | |
| 003135486A | Other | GA | GA MEDICAID |
| 02300136 | Other | NY | NY MEDICAID |
| 1679513196 | Medicaid | UT | |
| 300090599 | Other | CO | RR MIC MEDICARE |
| P00720354 | Other | NE | RR MCR NE |
| 7617652 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- AdventHealth Porter
- AdventHealth Parker
- Sky Ridge Medical Center
- HCA-Healthone Dba Swedish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.14 of 100
- Quality
- 83.98
- Improvement activities
- 40
- Cost
- 76.51
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.7 of 100
- Quality
- 65.53
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.5 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17551 | HI | MD | Licensed Practical Nurse |
| 29383 | CO | MD | Diagnostic Radiology Physician |
| 04-36659 | KS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT | Diagnostic Radiology | Current | Accepting new patients |
| Banner Imaging Services Colorado LLC | Diagnostic Radiology | Current | Accepting new patients |
| Hawaii Radiologic Associates, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Gunnison Valley Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Banner Imaging Services Colorado LLC | Current | Accepting new patients | |
| Dodge City Diagnostic, LLC | Current | Accepting new patients | |
| Gunnison Valley Hospital | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Loveland, CO
- NPI 1326674979
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1336188234
-
- Diagnostic Radiology Physician
- Broomfield, CO
- NPI 1396210902
-
- Diagnostic Radiology Physician
- Highlands Ranch, CO
- NPI 1043162142
-
- Diagnostic Radiology Physician
- Colorado Springs, CO
- NPI 1073223574
-
- Radiology Clinic/Center
- Phoenix, AZ
- NPI 1659106151
-
- Specialist
- Dodge City, KS
- NPI 1689699613
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, CO
- NPI 1396790200
-
- General Acute Care Hospital
- Lone Tree, CO
- NPI 1659325629
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1083461438
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1265072706
-
- General Acute Care Hospital
- Parker, CO
- NPI 1386651297
-
- General Acute Care Hospital
- Parker, CO
- NPI 1457148140
-
- Emergency Care Clinic/Center
- Littleton, CO
- NPI 1548800154
Hospital
-
- General Acute Care Hospital
- Littleton, CO
- NPI 1689688988
-
- General Acute Care Hospital
- Littleton, CO
- NPI 1720628332
-
- General Acute Care Hospital
- Denver, CO
- NPI 1801800594
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1922648534
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",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E HAMPDEN AVE",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132702",
"telephone_number": "303-761-9190",
"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"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "25044",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "04-36659",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "HI",
"license": "17551",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "29383",
"primary": true
}
],
"identifiers": [
{
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},
{
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"issuer": null,
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"state": "KS"
},
{
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"issuer": "RR DIA MEDICARE",
"identifier": "300090607",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX MEDICAID",
"identifier": "053221001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI MEDICAID",
"identifier": "104686220",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01293836",
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},
{
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"identifier": "1003878448",
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},
{
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},
{
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"issuer": null,
"identifier": "84-059792913",
"state": "NE"
},
{
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"identifier": "1003878448",
"state": "WY"
},
{
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},
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"issuer": null,
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"state": "NV"
},
{
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"issuer": null,
"identifier": "200427030A",
"state": "OK"
},
{
"code": "05",
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"issuer": null,
"identifier": "2192451",
"state": "LA"
},
{
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"issuer": null,
"identifier": "418800",
"state": "AZ"
},
{
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"issuer": "CA MEDICAID",
"identifier": "XPY204569",
"state": "CA"
},
{
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"issuer": null,
"identifier": "10025709000",
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{
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"issuer": "GA MEDICAID",
"identifier": "003135486A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY MEDICAID",
"identifier": "02300136",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679513196",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MIC MEDICARE",
"identifier": "300090599",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR NE",
"identifier": "P00720354",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7617652",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.