NPIMap

Individual provider Active NPI

Jesse W. Loar, M.D.

  • Emergency Medicine Physician
  • Denver, CO
National Provider Identifier
1104125335
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0054392 Issued in CO
Practice address
777 Bannock St
Mail Code # 0108
Denver, CO 80204-4507
Phone
(303) 436-7142
NPI assigned
Mar 28, 2011
Last updated
Jun 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DR.0054392 CO Primary

Addresses

Primary practice location

777 Bannock St
Mail Code # 0108
Denver, CO 80204-4507

Mailing address

2554 E Maplewood Ave
Centennial, CO 80121-2820
Phone (734) 274-0847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150605002052 CO Practitioner - Emergency Medicine 8325369093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Michigan Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7000 E Hampden Ave
Denver, CO 80224-3012
Phone (330) 925-4199

9949 S Oswego St
Parker, CO 80134-3753
Phone (303) 925-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
86.65
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0054392COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine Current Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients

Locations

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

Interoperability endpoints

  • Direct secure messaging: jloar1841564@adventhealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1104125335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 E MAPLEWOOD AVE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801212820",
            "telephone_number": "734-274-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "address_2": "MAIL CODE # 0108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-436-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOAR",
        "first_name": "JESSE",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0054392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.