Individual provider Active NPI

Michael D Jones, MD

  • Emergency Medicine Physician
  • Boulder, CO
National Provider Identifier
1215956768
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
CDRH.0001899 Issued in CO
Practice address
3645 Endicott Dr
Boulder, CO 80305-6912
Phone
(801) 360-8122
NPI assigned
Jul 18, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01055853A IN
Emergency Medicine Physician 207P00000X CDRH.0001899 CO Primary
Emergency Medicine Physician 207P00000X 166675 MT
Emergency Medicine Physician 207P00000X 6890717-1205 UT

Addresses

Primary practice location

3645 Endicott Dr
Boulder, CO 80305-6912

Mailing address

3645 Endicott Dr
Boulder, CO 80305-6912
Phone (801) 360-8122

Other practice location 1

30 13th St
Havre, MT 59501-5222
Phone (406) 265-2111

Other identifiers 1

IdentifierTypeStateIssuer
6890717120001OtherUTBCBS OF UTAH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MedicalRecords@direct.nmhcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MT, TX, IL, ND5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20080620000157 UT Practitioner - Emergency Medicine 3971674862 Reassigns benefits to 1 organization
I20101015001039 MT Practitioner - Emergency Medicine 3971674862 Reassigns benefits to 2 organizations
I20220805001710 TX Practitioner - Emergency Medicine 3971674862 Reassigns benefits to 5 organizations
I20230925003334 IL Practitioner - Emergency Medicine 3971674862 Reassigns benefits to 1 organization
I20250129002195 ND Practitioner - Emergency Medicine 3971674862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Montana HospitalGroup PAC ID 2264343912, 44 clinicians

Practice addresses (Care Compare)

30 13TH St
Havre, MT 59501-5222
Phone (406) 265-2211

East Hwy 18
Pine Ridge, SD 57770-1201
Phone (605) 867-3032

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDRH.0001899COMDEmergency Medicine Physician
01055853AINMDEmergency Medicine Physician
166675MTMDEmergency Medicine Physician
6890717-1205UTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Union Emergency Physicians, PLLC Emergency Medicine CurrentSince Jun 3, 2024 Accepting new patients
North Valley Emergency Physicians LC CurrentSince Feb 22, 2018 Accepting new patients
Rosebud Indian Health Service CurrentSince Aug 4, 2024 Accepting new patients
US Health Dept of Health & Human Services CurrentSince Oct 2, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 18, 2022 Accepting new patients
Northern Montana Hospital CurrentSince Mar 2, 2026 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Northern Montana Hospital CurrentSince Mar 2, 2026 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Oct 2, 2023 Accepting new patients
Lawton Indian Hospital CurrentSince Feb 6, 2024 Accepting new patients
Rosebud Indian Health Service CurrentSince Aug 4, 2024 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Home Care CurrentSince Jan 28, 2025 Accepting new patients
Mercy Medical Center CurrentSince Jan 28, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Sep 12, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 18, 2022 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients

Locations

3369 Solutions Ctr
Chicago, IL 60677

3333 N Seminary St
Galesburg, IL 61401
Phone (309) 344-3161

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

30 13th St
Havre, MT 59501
Phone (406) 262-1302

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

4250 Gibson Ln
Texarkana, TX 75503
Phone (903) 614-8100

170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570

Interoperability endpoints

  • Direct secure messaging: mjones813256@direct.ochin.org

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1215956768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 ENDICOTT DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056912",
            "telephone_number": "801-360-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 ENDICOTT DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056912",
            "telephone_number": "801-360-8122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 13th St",
            "address_purpose": "LOCATION",
            "city": "Havre",
            "state": "MT",
            "postal_code": "595015222",
            "country_code": "US",
            "telephone_number": "406-265-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01055853A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "CDRH.0001899",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "166675",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "6890717-1205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF UTAH",
            "identifier": "6890717120001",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MedicalRecords@direct.nmhcare.org",
            "affiliation": "N",
            "address_1": "30 13th St",
            "city": "Havre",
            "state": "MT",
            "country_code": "US",
            "postal_code": "595015222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.