Active NPI
James N Dreisbach, M.D.
- Diagnostic Radiology Physician
- Englewood, CO
National Provider Identifier
1235115254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 20148
- Practice address
- 501 E Hampden Ave
Englewood, CO 80113-2702 - Phone
- (303) 761-9190
- NPI assigned
- Dec 21, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 20148 | CO | Primary |
Addresses
Primary practice location
501 E Hampden Ave
Englewood, CO 80113-2702
Mailing address
10700 E Geddes Ave
No 200
Englewood, CO 80112-3800
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02249241 | Other | NY | NY MEDICAID |
| 053213701 | Other | TX | TX MEDICAID |
| 64049026 | Other | KY | KY MEDICAID |
| 200364610 | Other | IN | IN MEDICAID |
| 104686089 | Other | MI | MI MEDICAID |
| 10025709000 | Medicaid | NE | |
| 117172100 | Other | WY | WY MEDICAID |
| 1235115254 | Medicaid | MT | |
| 424458 | Other | AZ | AZ MEDICAID |
| CO305739 | Other | NE | MEDICARE TRAILBAZER RIN |
| 200417090A | Other | KS | KS MEDICAID |
| 84-059792913 | Medicaid | NE | |
| 940000060 | Other | CO | RR MCRE RIA |
| 940000105 | Other | CO | RR MCRE MIC |
| XPY203373 | Other | CA | CA MEDICAID |
| 01201482 | Medicaid | CO | |
| 18155235 | Other | NM | NM MEDICAID |
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 |
|---|---|---|---|
| 20148 | CO | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Imaging Associates, PC | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Imaging Associates | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Imaging of Nebraska, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1447299425
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1336188234
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1679513196
-
- Diagnostic Radiology Physician
- Scottsbluff, NE
- NPI 1184869901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1235115254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 E GEDDES AVE",
"address_2": "NO 200",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801123800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E HAMPDEN AVE",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132702",
"telephone_number": "303-761-9190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREISBACH",
"first_name": "JAMES",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "20148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY MEDICAID",
"identifier": "02249241",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX MEDICAID",
"identifier": "053213701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICAID",
"identifier": "64049026",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN MEDICAID",
"identifier": "200364610",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI MEDICAID",
"identifier": "104686089",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025709000",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WY MEDICAID",
"identifier": "117172100",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235115254",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ MEDICAID",
"identifier": "424458",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TRAILBAZER RIN",
"identifier": "CO305739",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KS MEDICAID",
"identifier": "200417090A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84-059792913",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCRE RIA",
"identifier": "940000060",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCRE MIC",
"identifier": "940000105",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAID",
"identifier": "XPY203373",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01201482",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM MEDICAID",
"identifier": "18155235",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.