Active NPI
Gustavo Luis Isuani, M.D.
- Diagnostic Radiology Physician
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 41718
- Practice address
- 4747 Arapahoe Ave
Boulder, CO 80303-1131 - Phone
- (303) 465-0401
- NPI assigned
- Feb 17, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 41718 | CO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | D0050174 | MD | |
| Neuroradiology Physician | 2085N0700X | D0050174 | MD |
Addresses
Primary practice location
4747 Arapahoe Ave
Boulder, CO 80303-1131
Mailing address
42 Garden Ctr
Broomfield, CO 80020-1730
Phone (303) 465-0401
Other practice location 1
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301
Other practice location 2
1100 Balsam Ave
Boulder, CO 80304-3404
Phone (303) 465-0401 ext. 102
Other practice location 3
22 S Greene St Rm S2A19
Baltimore, MD 21201-1544
Phone (410) 328-3477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66127009 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CO, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Baylor College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
122 W Castellano Dr
El Paso, TX 79912-6170
Phone (915) 577-0100
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5700
419 W Redwood St
Baltimore, MD 21201-1734
Phone (410) 328-3225
4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 465-0401
5 N la Plata CT
Suite 104
La Plata, MD 20646-5207
Phone (301) 539-0345
6509 Legend Ridge TRL
Niwot, CO 80503-7188
Phone (410) 328-3477
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41718 | CO | MD | Diagnostic Radiology Physician |
| D0050174 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Ultrasound Inc. | Current | Accepting new patients | |
| University of Maryland Diagnostic Imaging Specialists P a | Neuroradiology | Current | Accepting new patients |
| University of Maryland Diagnostic Radiology, LLC | Neuroradiology | Current | Accepting new patients |
| Boulder Radiologists Inc P C | Diagnostic Radiology | Current | Accepting new patients |
| Memorial MRI and Diagnostic LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Imaging Center, LLC | Neuroradiology | Current | Accepting new patients |
| University of Maryland Diagnostic Radiology, LLC | Neuroradiology | Current | Accepting new patients |
| University Imaging Center, LLC | Neuroradiology | Current | Accepting new patients |
| University of Maryland Diagnostic Imaging Specialists P a | Neuroradiology | Current | Accepting new patients |
| University of Maryland Diagnostic Imaging Specialists P a | Neuroradiology | Past | Accepting new patients |
| Insight Health Corporation | Diagnostic Radiology | Past | Accepting new patients |
| Medical Imaging of Dallas, LLP | Past | Accepting new patients | |
| Bouldercentre for Orthopedics PC | Past | Accepting new patients | |
| Columbus Radiology Corp | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 28)
2750 Broadway St
Boulder, CO 80304
Phone (303) 440-3000
6685 Gunpark Dr
Ste 102
Boulder, CO 80301
Phone (303) 415-5199
4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000
4740 Pearl Pkwy
Ste 110
Boulder, CO 80301
2880 Folsom St
Ste 100
Boulder, CO 80304
Phone (303) 247-9696
1100 Balsam Ave
Boulder, CO 80304
Phone (303) 415-7000
36 Garden Ctr
Broomfield, CO 80020
Phone (303) 465-0401
42 Garden Ctr
Broomfield, CO 80020
101 Erie Pkwy
Erie, CO 80516
Phone (303) 415-5170
1000 W South Boulder Rd
Ste 105
Lafayette, CO 80026
Phone (303) 604-5031
22 S Greene St
Rm S2A19
Baltimore, MD 21201
Phone (410) 328-1565
22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196
5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345
5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000
6491 Southwest Blvd
Benbrook, TX 76132
Phone (214) 341-8770
3502 Spid Dr
Corpus Christi, TX 78415
Phone (361) 854-4400
122 W Castellano Dr
El Paso, TX 79912
Phone 91557701002500
7812 Gateway Blvd E
Ste 120
El Paso, TX 79915
Phone (502) 533-3854
7812 Gateway Blvd E
El Paso, TX 79915
Phone (936) 444-4884
3080 Joe Battle Blvd
Ste B
El Paso, TX 79938
Phone (915) 313-7325
1727 N Lee Trevino Dr
El Paso, TX 79936
Phone (915) 225-0366
3080 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 298-3607
13650 Eastlake Blvd
Ste A102
Horizon City, TX 79928
Organizations & group practices 15
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
- Boulder, CO
- NPI 1891756813
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1912989120
-
- Radiology Clinic/Center
- El Paso, TX
- NPI 1225137078
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1245245307
Neuroradiology
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1154335487
CO, DC, Neuroradiology
-
- Diagnostic Radiology Physician
- La Plata, MD
- NPI 1467996959
Neuroradiology
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1992511265
Neuroradiology
-
- Diagnostic Radiology Physician
- Largo, MD
- NPI 1619783974
Neuroradiology
-
- Diagnostic Radiology Physician
- Glen Burnie, MD
- NPI 1548803257
Neuroradiology
-
- Orthopaedic Surgery Physician
- Boulder, CO
- NPI 1336197631
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1669408159
Hospital & facility affiliations 63
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1073588778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 GARDEN CTR",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201730",
"telephone_number": "303-465-0401",
"fax_number": "303-438-1351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 ARAPAHOE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031131",
"telephone_number": "303-465-0401"
}
],
"practiceLocations": [
{
"address_1": "3600 Minnesota Dr Ste 800",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554357915",
"country_code": "US",
"telephone_number": "952-595-1301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Balsam Ave",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803043404",
"country_code": "US",
"telephone_number": "303-465-0401 x102",
"fax_number": "303-438-1351",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22 S Greene St Rm S2A19",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011544",
"country_code": "US",
"telephone_number": "410-328-3477",
"fax_number": "410-328-1565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISUANI",
"first_name": "GUSTAVO",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "41718",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D0050174",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MD",
"license": "D0050174",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66127009",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.