Individual provider Active NPI

Charles W Nutting, DO

  • Vascular & Interventional Radiology Physician
  • Greenwood Village, CO
National Provider Identifier
1063459691
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
DR.0039981 Issued in CO
Practice address
8390 E Crescent Pkwy Ste 120
Greenwood Village, CO 80111-2812
Phone
(303) 241-0000
Fax
(303) 479-6873
NPI assigned
Jun 1, 2006
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 663 NE
Diagnostic Radiology Physician 2085R0202X 05-36637 KS
Diagnostic Radiology Physician 2085R0202X DOS1589 HI
Vascular & Interventional Radiology Physician 2085R0204X 141398 MT
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X DR.0039981 CO Primary

Addresses

Primary practice location

8390 E Crescent Pkwy Ste 120
Greenwood Village, CO 80111-2812

Mailing address

8390 E Crescent Pkwy Ste 120
Greenwood Village, CO 80111-2812
Phone (303) 241-0000

Other identifiers 8

IdentifierTypeStateIssuer
200297040AMedicaidKS
114705326MedicaidMI
22257861MedicaidNM
10025709000MedicaidNE
1063459691MedicaidWY
84059792913MedicaidNE
036089378MedicaidIL
23721324MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ, MT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040915000495 CO Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1153398482 Reassigns benefits to 1 organization
I20190328002343 AZ Practitioner - Interventional Radiology 1153398482 Reassigns benefits to 1 organization
I20240613003166 MT Practitioner - Diagnostic Radiology 1153398482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Midwestern University, Chicago College of Osteopathic Med, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10103 Ridgegate Pkwy
Suite 213
Lone Tree, CO 80124-5525
Phone (303) 241-0000

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as group
Quality
75
Improvement activities
40
Cost
88.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3332AZMDGeneral Practice Dentistry
DOS1589HIMDDiagnostic Radiology Physician
05-36637KSMDDiagnostic Radiology Physician
663NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Radiology of Colorado, Inc Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Scltdi JV, LLC CurrentSince Dec 1, 2024 Accepting new patients
Scltdi JV, LLC CurrentSince Dec 1, 2024 Accepting new patients
Comprehensive Interventional Care Centers, PLLC Single Specialty CurrentSince Feb 13, 2019 Accepting new patients
Scltdi JV, LLC CurrentSince Nov 12, 2024 Accepting new patients
Image Guided Therapy LLC Single Specialty CurrentSince Jun 15, 2024 Accepting new patients
Comprehensive Interventional Care Centers, PLLC Vascular & Interventional Radiology CurrentSince Feb 13, 2019 Accepting new patients
Clinical Diagnostic Radiology in Nuclear Medicine Single Specialty Past Accepting new patients
Diagnostic Imaging Associates Single Specialty Past Accepting new patients
Gunnison Valley Hospital Single Specialty Past Accepting new patients

Locations

2301 N 4th St
Flagstaff, AZ 86004
Phone (928) 719-7400

4001 E Baseline Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 532-4060

6301 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 775-8460

8390 E Crescent Pkwy
Ste 120
Greenwood Village, CO 80111
Phone (303) 241-0000

1746 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 716-3787

10103 Ridgegate Pkwy
Ste 213
Lone Tree, CO 80124
Phone (303) 649-1320

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGDFDD/Endpoint/EGDFDD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1063459691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 E CRESCENT PKWY STE 120",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112812",
            "telephone_number": "303-241-0000",
            "fax_number": "303-479-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 E CRESCENT PKWY STE 120",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112812",
            "telephone_number": "303-241-0000",
            "fax_number": "303-479-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTING",
        "first_name": "CHARLES",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "663",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "05-36637",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "DOS1589",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MT",
            "license": "141398",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "DR.0039981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200297040A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114705326",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22257861",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025709000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063459691",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84059792913",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089378",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23721324",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.