Organization Active NPI

San Juan Urology Associates Inc.

  • Specialist
  • Montrose, CO
National Provider Identifier
1124262985
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33801 Issued in CO
Legal business name
SAN JUAN UROLOGY ASSOCIATES INC.
Practice address
630 E Star CT
Montrose, CO 81401-6702
Phone
(970) 249-2291
Fax
(970) 240-3912
NPI assigned
Apr 23, 2009
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Joseph Adragna, M.D.NPI 1851658876
Title
Owner
Phone
(970) 249-2291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 33801 CO Primary

Addresses

Primary practice location

630 E Star CT
Montrose, CO 81401-6702

Mailing address

1550 B East Niagara Rd
Montrose, CO 81401-5027
Phone (970) 249-2291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110902000276 CO Part B Supplier - Clinic/Group Practice 9739359571 Receives reassigned benefits from 2 practitioners
Practice locations: Montrose, CO

National Provider Directory

National Provider Directory

Locations

1550 Niagara Rd
#B
Montrose, CO 81401
Phone (970) 249-2291

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1124262985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 B EAST NIAGARA RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015027",
            "telephone_number": "970-249-2291",
            "fax_number": "970-240-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E STAR CT",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016702",
            "telephone_number": "970-249-2291",
            "fax_number": "970-240-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN UROLOGY ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "ADRAGNA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-249-2291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "33801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.