Individual provider Active NPI

Todd Lane Kooy, MD

  • Vascular & Interventional Radiology Physician
  • Englewood, CO
National Provider Identifier
1104938208
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
DR.0050665 Issued in CO
Practice address
10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Phone
(303) 761-9190
Fax
(720) 874-4462
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 26523 NE
Diagnostic Radiology Physician 2085R0202X 04-36314 KS
Diagnostic Radiology Physician 2085R0202X 50665 CO
Diagnostic Radiology Physician 2085R0202X MD17508 HI
Vascular & Interventional Radiology Physician 2085R0204X MD00046721 WA
Vascular & Interventional Radiology Physician 2085R0204X DR.0050665 CO Primary

Addresses

Primary practice location

10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895

Mailing address

10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Phone (303) 761-9190

Other identifiers 4

IdentifierTypeStateIssuer
1104938208MedicaidWY
00978566MedicaidCO
200870140AMedicaidKS
1104938208MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120606000120 CO Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8921192204 Reassigns benefits to 7 organizations
I20130812000798 KS Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8921192204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Washington School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Radiologic Associates LTDGroup PAC ID 0941190953, 91 clinicians
Radiology Imaging Associates PCGroup PAC ID 2860391257, 147 clinicians
Banner Imaging Services Colorado LLCGroup PAC ID 7416377270, 90 clinicians
Gunnison Valley HospitalGroup PAC ID 8426040486, 81 clinicians
Ria Endovascular LLCGroup PAC ID 5597709717, 30 clinicians

Practice addresses (Care Compare)

10800 E Geddes Ave
Suite 300
Englewood, CO 80112-3895
Phone (303) 761-9190

12911 W 40TH Ave
Golden, CO 80401-2696
Phone (303) 425-4500

1900 Boise Ave
Suite 110
Loveland, CO 80538-5004
Phone (970) 810-6070

2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (720) 455-5000

2525 S Downing St
Portercare Hospital
Denver, CO 80210-5817
Phone (303) 778-5626

2525 S Downing St FL
Suite 3
Denver, CO 80210-5817
Phone (303) 715-7373

2555 E 13TH St
Suite 100
Loveland, CO 80537-5134
Phone (970) 810-6070

499 E Hampden Ave
Suite 380
Englewood, CO 80113-3877
Phone (303) 781-4485

501 E Hampden Ave
110 Swedish Medical Center
Englewood, CO 80113-2702
Phone (303) 788-6080

5670 Crestbrook Dr
Morrison, CO 80465-2215
Phone (303) 761-9190

711 N Taylor St
Gunnison, CO 81230-2208
Phone (970) 641-1456

711 N Taylor St
GVH Derm
Gunnison, CO 81230-2243
Phone (970) 641-3927

7700 S Broadway
Littleton Hospital
Littleton, CO 80122-2602
Phone (303) 730-5880

8200 E Belleview Ave
Suite 600E
Greenwood Village, CO 80111-2898
Phone (720) 493-3406

8200 Southpark Ter
Littleton, CO 80120-5614
Phone (720) 493-3251

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

Merit-based Incentive Payment System (MIPS)

Final score
70.7 of 100Reported as group
Quality
65.53
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
66.45 of 100Reported as group
Quality
58.19
Improvement activities
40
Cost
52.87

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50665COMDDiagnostic Radiology Physician
MD17508HIMDDiagnostic Radiology Physician
04-36314KSMDDiagnostic Radiology Physician
MD00046721WAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Diagnostic Radiology CurrentSince Apr 1, 2012 Accepting new patients
Ria Endovascular, LLC Diagnostic Radiology CurrentSince Apr 1, 2012 Accepting new patients
Banner Imaging Services Colorado LLC CurrentSince Oct 1, 2020 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince May 17, 2017 Accepting new patients
Dodge City Diagnostic, LLC CurrentSince Jan 2, 2018 Accepting new patients
Banner Imaging Services Colorado LLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients

Locations

1400 S Potomac St
Ste 180
Aurora, CO 80012
Phone (303) 695-2603

9681 Prominent Pt
Ste 130
Colorado Springs, CO 80924
Phone (719) 600-3700

2055 N High St
Ste 180
Denver, CO 80205
Phone (303) 839-7490

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

401 W Hampden Pl
Ste 40
Englewood, CO 80110

701 E Hampden Ave
Ste 110
Englewood, CO 80113
Phone (303) 515-2023

10800 E Geddes Ave
Ste 300
Englewood, CO 80112
Phone (303) 791-9190

10700 E Geddes Ave
Ste 200
Englewood, CO 80112

400 Indiana St
Ste 130
Golden, CO 80401
Phone (720) 493-3411

8200 E Belleview Ave
Ste 600E
Greenwood Village, CO 80111
Phone (720) 493-3406

8200 E Belleview Ave
Ste 124C
Greenwood Village, CO 80111
Phone (720) 493-3272

8200 E Belleview Ave
Ste 200E
Greenwood Village, CO 80111
Phone (303) 850-3200

707 N Iowa St
Gunnison, CO 81230
Phone (970) 641-1771

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

6169 S Balsam Way
Ste 170
Littleton, CO 80123
Phone (303) 841-3100

8200 Southpark Ter
Littleton, CO 80120
Phone (720) 493-3251

10107 Ridgegate Pkwy
Ste 110
Lone Tree, CO 80124
Phone (720) 493-3539

10450 Park Meadows Dr
Ste 105
Lone Tree, CO 80124
Phone (303) 925-0075

1900 Boise Ave
Ste 110
Loveland, CO 80538
Phone (970) 810-6070

2555 E 13th St
Ste 100
Loveland, CO 80537
Phone (970) 461-6193

12219 Pine Bluffs Way
Ste 111
Parker, CO 80134

670 Ponahawai St
Ste 110
Hilo, HI 96720
Phone (808) 933-2540

82 Puuhonu Pl
Ste 102
Hilo, HI 96720
Phone (808) 961-4745

75-5653 Kuakini Hwy
Ste 110
Kailua Kona, HI 96740
Phone (808) 329-7314

201 Albert Ave
Scott City, KS 67871
Phone (620) 872-2187

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
  • HI PPO

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1104938208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 E GEDDES AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123895",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 E GEDDES AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123895",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOY",
        "first_name": "TODD",
        "middle_name": "LANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "26523",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-36314",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "50665",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD17508",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD00046721",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "DR.0050665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104938208",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00978566",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200870140A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104938208",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.