Active NPI
Michael D Jones, MD
- Emergency Medicine Physician
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- CDRH.0001899
- Practice address
- 3645 Endicott Dr
Boulder, CO 80305-6912 - Phone
- (801) 360-8122
- NPI assigned
- Jul 18, 2006
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6890717120001 | Other | UT | BCBS OF UTAH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MedicalRecords@direct.nmhcare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, MT, TX, IL, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CDRH.0001899 | CO | MD | Emergency Medicine Physician |
| 01055853A | IN | MD | Emergency Medicine Physician |
| 166675 | MT | MD | Emergency Medicine Physician |
| 6890717-1205 | UT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Union Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| North Valley Emergency Physicians LC | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients | |
| U S Health Dept of Health & Human Services | Current | Accepting new patients | |
| Lawton Indian Hospital | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Home Care | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | 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
- 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.
-
dba Pine Ridge IHS Hospital
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
- Critical Access Hospital
- Havre, MT
- NPI 1427059070
-
- Psychiatry Physician
- Williston, ND
- NPI 1801928593
-
dba Chi St Alexius Health Williston
- Critical Access Hospital
- Williston, ND
- NPI 1902824576
-
- Emergency Medical Services (Emergency Medicine) Physician
- American Fork, UT
- NPI 1134177876
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba Rosebud Indian Health Service Hospital
- General Acute Care Hospital
- Rosebud, SD
- NPI 1194757369
TX
-
- Emergency Medicine Physician
- Texarkana, TX
- NPI 1023798501
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Home Health Agency
- Williston, ND
- NPI 1871593723
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Havre, MT
- NPI 1427059070
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.