NPIMap

Individual provider Active NPI

Joseph Thomas Crepps Jr., M.D.

  • Vascular Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1124008032
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
31124 Issued in CO
Practice address
3220 Orion Dr
Colorado Springs, CO 80906-0920
Phone
(719) 632-2877
Fax
(719) 632-2877
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 32023 MN
Vascular Surgery Physician 2086S0129X 31124 CO Primary

Addresses

Primary practice location

3220 Orion Dr
Colorado Springs, CO 80906-0920

Mailing address

3220 Orion Dr
Colorado Springs, CO 80906-0920
Phone (719) 632-2877

Other practice location 1

1000 E. 1st St. Ste. 203
Duluth, MN 55805-0920
Phone (218) 249-6450

Other identifiers 1

IdentifierTypeStateIssuer
01311240MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, PA, IL, AL, MN5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20061205000722 CO Practitioner - Vascular Surgery 3870505175
I20150430001845 PA Practitioner - Vascular Surgery 3870505175 Reassigns benefits to 2 organizations
I20171031002448 IL Practitioner - Vascular Surgery 3870505175
I20181022001959 AL Practitioner - Vascular Surgery 3870505175 Reassigns benefits to 1 organization
I20190808002485 MN Practitioner - Vascular Surgery 3870505175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Geisel School of Medicine at Dartmouth, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Luke'S Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians

Practice addresses (Care Compare)

1000 E 1St St
Suite 203
Duluth, MN 55805-2297
Phone (218) 249-6450

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31124COMDVascular Surgery Physician
32023MNMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital of Duluth CurrentSince Aug 1, 2019 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Aug 1, 2019 Accepting new patients
St. Luke'S Hospital of Duluth Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Apr 3, 2015 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
St. Luke'S Hospital of Duluth Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Apr 3, 2015 Accepting new patients
Uch-MHS CurrentSince Oct 1, 2012 Accepting new patients
Ecm Health Group LLC Vascular Surgery CurrentSince Jun 23, 2018 Accepting new patients
Uch-MHS Past Accepting new patients
Baptist Health Medical Group Inc PastSince May 1, 2020 Accepting new patients
Memorial Health System Past Accepting new patients

Locations

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

175 S Union Blvd
Ste 320
Colorado Springs, CO 80910
Phone (719) 477-1033

29980 Network Pl
Chicago, IL 60673

1000 E 1st St
Ste 203
Duluth, MN 55805
Phone (218) 249-6450

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

Interoperability endpoints

  • Direct secure messaging: jcrepps@direct.excelahealth.org
  • Direct secure messaging: jcrepps237393@direct.aspirus.org
  • Direct secure messaging: joseph.crepps@slk.direct.slhduluth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1124008032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 ORION DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809060920",
            "telephone_number": "719-632-2877",
            "fax_number": "719-632-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 ORION DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809060920",
            "telephone_number": "719-632-2877",
            "fax_number": "719-632-2877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E. 1st St. Ste. 203",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558050920",
            "country_code": "US",
            "telephone_number": "218-249-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREPPS",
        "first_name": "JOSEPH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MN",
            "license": "32023",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CO",
            "license": "31124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01311240",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.