Individual provider Active NPI

Tadd Rodney Ferguson, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Denver, CO
National Provider Identifier
1083672430
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
38927 Issued in CO
Practice address
Dept #0861
Denver, CO 80256-0001
Phone
(866) 898-7136
Fax
(616) 975-9824
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 38927 CO Primary

Addresses

Primary practice location

Dept #0861
Denver, CO 80256-0001

Mailing address

2218 Tuscany Ave
Grand Junction, CO 81503-4514
Phone (970) 257-9613

Other identifiers 2

IdentifierTypeStateIssuer
04725531MedicaidCO
T0304MedicaidUT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000442 CO Practitioner - Emergency Medicine 8921080854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio State University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado West Emergency Physicians LLCGroup PAC ID 6103808035, 21 clinicians

Practice addresses (Care Compare)

2635 N 7TH St
Grand Junction, CO 81501-8209
Phone (970) 244-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.63 of 100Reported as group
Quality
97.27
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38927COMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Emergency Physicians, LLC Emergency Medicine CurrentSince Nov 1, 2001 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

Dept 0861
Denver, CO 80256
Phone (970) 298-1977

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

Organizations & group practices 2

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 4

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1083672430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 TUSCANY AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815034514",
            "telephone_number": "970-257-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT #0861",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802560001",
            "telephone_number": "866-898-7136",
            "fax_number": "616-975-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "TADD",
        "middle_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CO",
            "license": "38927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04725531",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T0304",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.