NPIMap

Individual provider Active NPI

John R McDonald, MD

  • Diagnostic Radiology Physician
  • Aurora, CO
National Provider Identifier
1124007083
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36114 Issued in CO
Practice address
12605 E 16TH Ave
Aurora, CO 80045-2545
Phone
(720) 848-0000
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X 36114 CO
Vascular & Interventional Radiology Physician 2085R0204X 36114 CO
Diagnostic Radiology Physician 2085R0202X 36114 CO Primary

Addresses

Primary practice location

12605 E 16TH Ave
Aurora, CO 80045-2545

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

1746 Cole Blvd Ste 150
Lakewood, CO 80401-3267
Phone (303) 914-8800

Other names 1

  • Jack McDonald Other name

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
I20040203000811 CO Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Interventional Radiology 7911890082 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology, Nuclear Medicine
Education
University of South Florida College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

100 Cook St
Suite 100
Denver, CO 80206-5327
Phone (720) 516-9420

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

Hospital & facility affiliations

  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36114COMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince Jul 1, 2023 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Jan 1, 2019 Accepting new patients
University Physicians Incorporated Current Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Jan 1, 2019 Accepting new patients
University Physicians Incorporated CurrentSince Jul 1, 2023 Accepting new patients
New Schryver LLC Past Accepting new patients
RMR Investments Inc Diagnostic Radiology Past Accepting new patients
Schryver Medical Sales and Marketing Inc. Past Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology PastSince Dec 12, 2018 Accepting new patients
Yampa Valley Medical Center Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

Dept 1061
Denver, CO 80256

100 Cook St
Ste 404
Denver, CO 80206
Phone (720) 516-9200

100 Cook St
Ste 100
Denver, CO 80206
Phone (720) 516-9420

100 Cook St
Ste 410
Denver, CO 80206
Phone (720) 516-9420

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

5589 Argonne St
Denver, CO 80249
Phone (303) 371-0330

100 Cook St
Ste 212
Denver, CO 80206
Phone (720) 516-9200

1500 Park Central Dr
Ste 203
Highlands Ranch, CO 80129
Phone (720) 516-2100

1500 Park Central Dr
Ste 202
Highlands Ranch, CO 80129
Phone (720) 516-2100

1746 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 716-3787

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

16990 Village Center Dr E
Parker, CO 80134
Phone (303) 805-3020

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 12

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1124007083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452545",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1746 Cole Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "804013267",
            "country_code": "US",
            "telephone_number": "303-914-8800",
            "fax_number": "303-716-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CO",
            "license": "36114",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "36114",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "36114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "MCDONALD",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.