Individual provider Active NPI

Joann Osedebame Ikenyei, MD

  • Hospitalist Physician
  • Longmont, CO
National Provider Identifier
1235636333
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DR.0066875 Issued in CO
Practice address
1950 Mountain View Ave
Longmont, CO 80501-3129
Phone
(303) 485-3066
Fax
(303) 485-3060
NPI assigned
Apr 6, 2018
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0066875 CO
Internal Medicine Physician 207R00000X 1980 WI
Hospitalist Physician 208M00000X 1980 WI
Hospitalist Physician 208M00000X 18181 ND
Hospitalist Physician 208M00000X DR.0066875 CO Primary

Addresses

Primary practice location

1950 Mountain View Ave
Longmont, CO 80501-3129

Mailing address

PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104

Other practice location 1

3000 32nd Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

Other practice location 2

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700

Other practice location 3

100 Health Park Dr
Louisville, CO 80027-9583
Phone (303) 673-1000

Other identifiers 1

IdentifierTypeStateIssuer
100287144MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, ND, WI, WY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20210824001010 CO Practitioner - HospitalistPractitioner - Internal Medicine 8123423530 Reassigns benefits to 5 organizations
I20230109002904 ND Practitioner - HospitalistPractitioner - Internal Medicine 8123423530 Reassigns benefits to 3 organizations
I20240923001784 WI Practitioner - Hospitalist 8123423530
I20250130003979 WY Practitioner - Internal Medicine 8123423530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Summit Hospitalist Group LLCGroup PAC ID 8527445824, 47 clinicians
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians
Hospital Medicine Services of Colorado, LLCGroup PAC ID 9133631351, 73 clinicians
Campbell County Hospital DistrictGroup PAC ID 2860392529, 128 clinicians

Practice addresses (Care Compare)

1950 Mountain View Ave
Longmont, CO 80501-3129
Phone (303) 485-3066

214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (307) 324-2221

3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

4567 E 9TH Ave
Denver, CO 80220-3908
Phone (303) 320-2121

501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1980WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System Internal Medicine CurrentSince Sep 24, 2024 Accepting new patients
Altru Health System CurrentSince Sep 24, 2024 Accepting new patients
Innovis Health LLC CurrentSince Apr 20, 2025 Accepting new patients
Banner Hospital Based Physicians Colorado LLC Current Accepting new patients
Sanford Medical Center Fargo Internal Medicine CurrentSince Sep 30, 2022 Accepting new patients
Campbell County Hospital District CurrentSince Jan 15, 2025 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 26, 2023 Accepting new patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince Nov 7, 2022 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Internal Medicine Current Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Summit Hospitalist Group LLC Hospitalist CurrentSince Jul 31, 2025 Accepting new patients
Hospital Medicine Services of Colorado, LLC Hospitalist CurrentSince Jun 1, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 26, 2023 Accepting new patients
Sanford Medical Center Fargo CurrentSince Sep 30, 2022 Accepting new patients
Innovis Health LLC CurrentSince Apr 20, 2025 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Apr 25, 2022 Accepting new patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince Nov 7, 2022 Accepting new patients
Campbell County Hospital District Internal Medicine Current Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Apr 25, 2022 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Oct 17, 2021 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Oct 17, 2021 Accepting new patients
Portercare Adventist Health System CurrentSince Oct 17, 2021 Accepting new patients
Portercare Adventist Health System CurrentSince Oct 17, 2021 Accepting new patients
Campbell County Hospital District CurrentSince Jan 15, 2025 Accepting new patients
Altru Health System Past Accepting new patients
Longmont United Hospital Past Accepting new patients
HCA Healthone LLC Past Accepting new patients
Catholic Health Iniatives Colorado Past Accepting new patients

Locations

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2635 N 7th St
Ste 4205
Grand Junction, CO 81501
Phone (970) 298-7049

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

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

1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

Organizations & group practices 31

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 31

Hospital & facility affiliations 11

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1235636333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 MOUNTAIN VIEW AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013129",
            "telephone_number": "303-485-3066",
            "fax_number": "303-485-3060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 32nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581036132",
            "country_code": "US",
            "telephone_number": "701-364-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 N Westhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549047668",
            "country_code": "US",
            "telephone_number": "920-303-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Health Park Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800279583",
            "country_code": "US",
            "telephone_number": "303-673-1000",
            "fax_number": "303-673-1204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKENYEI",
        "first_name": "JOANN",
        "middle_name": "OSEDEBAME",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0066875",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "1980",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "1980",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ND",
            "license": "18181",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0066875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100287144",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.