NPIMap

Individual provider Active NPI

Justin Michael Quinette, DO

  • Sports Medicine (Family Medicine) Physician
  • Greenwood Village, CO
National Provider Identifier
1043873904
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
DR.72870 Issued in CO
Practice address
5351 S Roslyn St Ste 200
Greenwood Village, CO 80111-2132
Phone
(303) 770-6500
NPI assigned
Apr 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Sports Medicine (Family Medicine) Physician 207QS0010X DR.72870 CO Primary

Addresses

Primary practice location

5351 S Roslyn St Ste 200
Greenwood Village, CO 80111-2132

Mailing address

5351 S Roslyn St Ste 200
Greenwood Village, CO 80111-2132
Phone (303) 770-6500

Other practice location 1

27100 Chardon Rd
Richmond Heights, OH 44143-1192
Phone (440) 585-4821

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
I20250109002128 CO Practitioner - Sports Medicine 2860729456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

5351 S Roslyn St
Greenwood Village, CO 80111-2132

7700 S Broadway
Littleton, CO 80122-2602
Phone (303) 730-8900

Hospital & facility affiliations

  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125
  • AdventHealth Porter Hospital, Denver, CO, CCN 060064
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Nov 7, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Nov 7, 2024 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

5351 S Roslyn St
Ste 200
Greenwood Village, CO 80111
Phone (303) 469-3182

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

Networks

  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO

Interoperability endpoints

  • Direct secure messaging: jquinette4061774@adventhealth.direct-ci.com

Organizations & group practices 4

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 11

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1043873904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5351 S ROSLYN ST STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112132",
            "telephone_number": "303-770-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5351 S ROSLYN ST STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112132",
            "telephone_number": "303-770-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27100 Chardon Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "OH",
            "postal_code": "441431192",
            "country_code": "US",
            "telephone_number": "440-585-4821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINETTE",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CO",
            "license": "DR.72870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.