Active NPI
Megan M Mahoney, MD
- Family Medicine Physician
- Olathe, CO
National Provider Identifier
1144281155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 51303
- Practice address
- 308 Main Street
Olathe, CO 81425-0529 - Phone
- (970) 323-6141
- Fax
- (970) 323-6117
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32529 | IA | |
| Family Medicine Physician | 207Q00000X | 38854 | MN | |
| Family Medicine Physician | 207Q00000X | 51303 | CO | Primary |
Addresses
Primary practice location
308 Main Street
Olathe, CO 81425-0529
Mailing address
2233 E Main St
Business Options Medical Billing
Montrose, CO 81401-3831
Phone (970) 765-0818
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139H0MA | Other | MN | BCBSMN |
| 371020YS6E | Other | CO | MEDICARE B PTAN FOR OLATHE COMMUNITY CLINIC DBA RVFHC |
| P00449455 | Other | RR MEDICARE PTAN | |
| 9174425 | Medicaid | IA | |
| 34712700 | Medicaid | WI | |
| COA108893 | Other | CO | MEDICARE PTAN BASIN CLINIC, NATURITA, CO |
| 803521100 | Medicaid | MN | |
| HP69913 | Other | HEALTHPARTNERS | |
| 05622778 | Medicaid | CO | |
| 112858 | Other | UCARE | |
| P01327013 | Other | CO | RAILROAD WORKERS MEDICARE, BASIN CLINIC, NATURITA, CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32529 | IA | MD | Family Medicine Physician |
| 38854 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uncompahgre Combined Clinics | Past | Accepting new patients | |
| Mountain Radiology, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- Grand Junction, CO
- NPI 1093823742
-
- Community/Retail Pharmacy
- Norwood, CO
- NPI 1306201298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1144281155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 E MAIN ST",
"address_2": "BUSINESS OPTIONS MEDICAL BILLING",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814013831",
"telephone_number": "970-765-0818",
"fax_number": "970-497-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 MAIN STREET",
"city": "OLATHE",
"state": "CO",
"postal_code": "814250529",
"telephone_number": "970-323-6141",
"fax_number": "970-323-6117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "MEGAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "32529",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "38854",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "51303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMN",
"identifier": "139H0MA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B PTAN FOR OLATHE COMMUNITY CLINIC DBA RVFHC",
"identifier": "371020YS6E",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "P00449455",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9174425",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34712700",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN BASIN CLINIC, NATURITA, CO",
"identifier": "COA108893",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "803521100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP69913",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05622778",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "112858",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD WORKERS MEDICARE, BASIN CLINIC, NATURITA, CO",
"identifier": "P01327013",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.