Justin M. Kaptuch, MD
Individual provider Active NPI Diagnostic Radiology Physician · Grand Junction, CO
NPI 1104117175 · NPPES record last updated Sep 17, 2019
Key facts
- NPI
- 1104117175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- DR.0056620 (CO)
- Practice address
- 2351 G Rd
Grand Junction, CO 81505-9641 - Phone
- (970) 644-3237
- Fax
- (970) 644-3259
- NPI assigned
- Apr 26, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Connecticut School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Diagnostic Radiology Associates PC
Practice addresses (Care Compare)
2351 G Rd
Grand Junction, CO 81505-9641
Phone (970) 644-3237
Hospital & facility affiliations
- Community Hospital
- Family Health West Hospital
- Intermountain Health St. Mary'S Regional Hospital
- American Fork Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160520000214 | CO | Practitioner - Diagnostic Radiology | 4587896394 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A136921 | CA | MD | Diagnostic Radiology Physician |
| DR.0056620 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rangely Hospital District | Current |
Accepting new patients | |
| Lower Valley Hospital Association | Current |
Accepting new patients | |
| Rangely Hospital District | Current |
Accepting new patients | |
| Diagnostic Radiology Associates PC | Diagnostic Radiology | Current |
Accepting new patients |
| Lower Valley Hospital Association | Current |
Accepting new patients | |
| Lower Valley Hospital Association | Current |
Accepting new patients | |
| Lower Valley Hospital Association | Diagnostic Radiology | Current | Accepting new patients |
Locations
300 W Ottley Ave
#W
Fruita, CO 81521
300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900
2351 G Rd
Grand Junction, CO 81505
Phone (970) 242-0920
225 Eagle Crest Dr
Rangely, CO 81648
Phone (970) 675-4253
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A136921 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | DR.0056620 | CO | Yes |
Addresses
Primary practice location
2351 G Rd
Grand Junction, CO 81505-9641
Mailing address
PO Box 308
Montrose, CO 81401-3831
Phone (970) 765-0818
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01655474 | Other | RAILROAD WORKERS MEDICARE FOR DIAGNOSTIC RADIOLOGY ASSOCIATES | |
| 498737ZP83 | Other | CO | MEDICARE B PTAN FOR DIAGNOSTIC RADIOLOGY ASSOCIATES |
Other providers in Grand Junction, CO
- Isaac James Kangas
- Anna Page Kanopsic
- Joseph Kanopsic
- Kanza Knoll Healthcare, Inc.
- Rachael Hilton Kappius
- Karen C Nelson MD PA
- Seth Andrew Kareus
- Zachariah Kareus
- Samantha Grace Karimi
- Nadia Karki
All providers in Grand Junction, CO · Diagnostic Radiology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.