Individual provider Active NPI

Justin Fradley Monroe, M.D.

  • Vascular & Interventional Radiology Physician
  • Fort Collins, CO
National Provider Identifier
1215340633
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
DR.0063899 Issued in CO
Practice address
1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone
(970) 495-7000
Fax
(970) 484-4759
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 32505 NE
Vascular & Interventional Radiology Physician 2085R0204X 12948A WY
Vascular & Interventional Radiology Physician 2085R0204X DR.0063899 CO Primary

Addresses

Primary practice location

1024 S Lemay Ave
Fort Collins, CO 80524-3929

Mailing address

2008 Caribou Dr
Fort Collins, CO 80525-4325
Phone (970) 484-4757

Other practice location 1

1024 Central Park Dr
Steamboat Springs, CO 80487-8813
Phone (970) 879-1322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 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
I20200526003223 CO Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9234451345 Reassigns benefits to 2 organizations
I20200528003488 WY Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9234451345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Massachusetts Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians
Fort Collins Radiologic Associates PCGroup PAC ID 7315844396, 63 clinicians

Practice addresses (Care Compare)

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

1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone (970) 495-7000

255 N 30TH St
Laramie, WY 82072-5140
Phone (307) 742-2141

Hospital & facility affiliations

  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Longs Peak Hospital Hospital, Longmont, CO, CCN 060128
  • Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131
  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
  • Ivinson Memorial Hospital Hospital, Laramie, WY, CCN 530025

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
DR.0063899COMDVascular & Interventional Radiology Physician
32505NEMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Sep 8, 2020 Accepting new patients
Harmony Imaging Center LLC Diagnostic Radiology CurrentSince Jun 9, 2020 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Sep 8, 2020 Accepting new patients
Fort Collins Radiologic Associates PC Diagnostic Radiology CurrentSince May 20, 2020 Accepting new patients

Locations

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

11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000

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

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

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

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

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

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

2008 Caribou Dr
Fort Collins, CO 80525

2127 E Harmony Rd
Ste 130
Fort Collins, CO 80528
Phone (970) 207-4700

2127 E Harmony Rd
Ste 100
Fort Collins, CO 80528
Phone (970) 207-4700

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

9620 E Arapahoe Rd
Greenwood Village, CO 80112
Phone (303) 222-2118

4508 Endeavor Dr
Ste 200
Johnstown, CO 80534
Phone (970) 282-2912

1760 E Ken Pratt Blvd
Ste 101
Longmont, CO 80504
Phone (720) 718-5100

1750 E Ken Pratt Blvd
Longmont, CO 80504
Phone (720) 718-7000

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

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

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

1000 W 8th Ave
Yuma, CO 80759
Phone (970) 345-6336

1313 S St
Bridgeport, NE 69336
Phone (308) 262-1616

255 W 4th St
Kimball, NE 69145
Phone (308) 235-1951

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

Organizations & group practices 4

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1215340633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 CARIBOU DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254325",
            "telephone_number": "970-484-4757",
            "fax_number": "970-484-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 S LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243929",
            "telephone_number": "970-495-7000",
            "fax_number": "970-484-4759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1024 Central Park Dr",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804878813",
            "country_code": "US",
            "telephone_number": "970-879-1322",
            "fax_number": "970-870-1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONROE",
        "first_name": "JUSTIN",
        "middle_name": "FRADLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NE",
            "license": "32505",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WY",
            "license": "12948A",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "DR.0063899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.