Active NPI
John Nozykowski, MD
- Family Medicine Physician
- Fruita, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0063205
- Practice address
- 101 Jurassic Ave Unit B
Fruita, CO 81521-7713 - Phone
- (970) 858-6677
- Fax
- (970) 858-6679
- NPI assigned
- May 3, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0063205 | CO | Primary |
Addresses
Primary practice location
101 Jurassic Ave Unit B
Fruita, CO 81521-7713
Mailing address
PO Box 1727
Grand Junction, CO 81502-1727
Phone (970) 858-6677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Albany Medical College of Union University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
551 Kokopelli Blvd
Unit F
Fruita, CO 81521-6305
Phone (970) 858-6677
Hospital & facility affiliations
- Community Hospital
- Family Health West Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Group, LLC | Current | Accepting new patients | |
| Community Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Community Medical Group, LLC | Current | Accepting new patients | |
| Community Medical Group, LLC | Family Medicine | Past | Accepting new patients |
| Community Medical Group, LLC | Family Medicine | Past | Accepting new patients |
| St Mary'S Hospital and Medical Center, Inc | Family Medicine | Past | Accepting new patients |
Locations
551 Kokopelli Blvd
Unit F
Fruita, CO 81521
Phone (970) 858-2530
101 Jurassic Ave
Unit B
Fruita, CO 81521
Phone (970) 858-6677
2478 Patterson Rd
Ste 27
Grand Junction, CO 81505
Phone (970) 257-1862
731 Iowa Ave
Ste A
Palisade, CO 81526
Phone (970) 644-4050
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Grand Junction, CO
- NPI 1043640634
-
- Family Medicine Physician
- Grand Junction, CO
- NPI 1609314848
-
- Specialist
- Grand Junction, CO
- NPI 1720736937
-
- Family Medicine Physician
- Grand Junction, CO
- NPI 1558505503
-
- Family Medicine Physician
- Grand Junction, CO
- NPI 1629201637
-
- Hematology & Oncology Physician
- Grand Junction, CO
- NPI 1275714081
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1497723407
-
- Critical Access Hospital
- Fruita, CO
- NPI 1861496697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1083103196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1727",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815021727",
"telephone_number": "970-858-6677",
"fax_number": "970-858-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 JURASSIC AVE UNIT B",
"city": "FRUITA",
"state": "CO",
"postal_code": "815217713",
"telephone_number": "970-858-6677",
"fax_number": "970-858-6679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOZYKOWSKI",
"first_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-03",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0063205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fruita, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.