NPIMap

Individual provider Active NPI

Jonathan H Delacey, MD

  • Diagnostic Radiology Physician
  • Durango, CO
National Provider Identifier
1053442228
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
39324 Issued in CO
Practice address
1010 Three Springs Blvd
Durango, CO 81301-8296
Phone
(970) 764-2286
NPI assigned
Mar 8, 2007
Last updated
Jul 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 39324 CO Primary

Addresses

Primary practice location

1010 Three Springs Blvd
Durango, CO 81301-8296

Mailing address

PO Box 394
Gretna, NE 68028-0394
Phone (877) 406-2916

Other identifiers 9

IdentifierTypeStateIssuer
RAB6508OtherCOBLUE CROSS BLUE SHIELD
84115593607OtherCOROCKY MOUNTAIN HEALTH
T0334MedicaidUT
69185OtherPRESBYTERIAN
825705MedicaidAZ
F2427MedicaidNM
5302835MedicaidCA
84115593607OtherPACIFICARE
34106839MedicaidCO

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
I20120413000130 CO Practitioner - Diagnostic Radiology 5193805422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Durango PCGroup PAC ID 9335030972, 10 clinicians

Practice addresses (Care Compare)

1010 Three Springs Blvd
Durango, CO 81301-8296
Phone (970) 764-2200

1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (970) 565-6666

375 E Park Ave
Durango, CO 81301-5012
Phone (970) 247-4311

575 Rivergate LN
Durango, CO 81301-7487
Phone (970) 247-3537

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39324COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Imaging Partnership-Jax1 LLC CurrentSince Jul 17, 2025 Accepting new patients
The Medical Imaging Partnership-Jax1 LLC CurrentSince Jul 17, 2025 Accepting new patients
Radiology Associates of Durango PC Diagnostic Radiology CurrentSince Jun 30, 2001 Accepting new patients
Precision Imaging St. Augustine, LLC CurrentSince Oct 2, 2025 Accepting new patients
Three Springs Imaging, LLC CurrentSince Sep 1, 2018 Accepting new patients
Southwest Diagnostic Laboratories PC Past Accepting new patients

Locations

1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666

1010 Three Springs Blvd
Durango, CO 81301
Phone (970) 247-4311

575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678

14444 Beach Blvd
Ste 23
Jacksonville Beach, FL 32250
Phone (904) 297-3848

Organizations & group practices 6

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1053442228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 394",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680280394",
            "telephone_number": "877-406-2916",
            "fax_number": "719-591-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 THREE SPRINGS BLVD",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018296",
            "telephone_number": "970-764-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACEY",
        "first_name": "JONATHAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "39324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "RAB6508",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HEALTH",
            "identifier": "84115593607",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T0334",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "69185",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "825705",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F2427",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5302835",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "84115593607",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34106839",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.