Active NPI
Gary James Cantrell Jr., D.O
- Family Medicine Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0062666
- Practice address
- 400 S Colorado Blvd Ste 900
Denver, CO 80246-1241 - Phone
- (303) 318-3520
- NPI assigned
- May 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0062666 | CO | Primary |
Addresses
Primary practice location
400 S Colorado Blvd Ste 900
Denver, CO 80246-1241
Mailing address
400 S Colorado Blvd Ste 900
Denver, CO 80246-1241
Phone (303) 318-3520
Other practice location 1
3700 S Main St
Blacksburg, VA 24060-7017
Phone (540) 953-3528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Broomfield, CO 80021
Phone (720) 807-4461
8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370
Hospital & facility affiliations
- Saint Joseph Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0062666 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uptown Community Health Center Inc | Family Medicine | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Uptown Community Health Center Inc | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Family Medicine | Current | Accepting new patients |
| Uptown Community Health Center Inc | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Uptown Community Health Center Inc | Past | Accepting new patients |
Locations
1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500
400 S Colorado Blvd
Ste 900
Denver, CO 80246
Phone (303) 318-3520
1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610
Interoperability endpoints
- gary.cantrell@hca6.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
- Family Medicine Physician
- Denver, CO
- NPI 1598408973
-
- Neurological Surgery Physician
- Wheat Ridge, CO
- NPI 1013543891
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
- Obstetrics & Gynecology Physician
- Denver, CO
- NPI 1538802921
-
- Federally Qualified Health Center (FQHC)
- Denver, CO
- NPI 1619844669
-
- Internal Medicine Physician
- Denver, CO
- NPI 1841933223
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Littleton, CO
- NPI 1164071296
-
- General Acute Care Hospital
- Denver, CO
- NPI 1417946021
-
- General Acute Care Hospital
- Northglenn, CO
- NPI 1427607464
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1619526746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1245686674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S COLORADO BLVD STE 900",
"city": "DENVER",
"state": "CO",
"postal_code": "802461241",
"telephone_number": "303-318-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S COLORADO BLVD STE 900",
"city": "DENVER",
"state": "CO",
"postal_code": "802461241",
"telephone_number": "303-318-3520"
}
],
"practiceLocations": [
{
"address_1": "3700 S Main St",
"address_purpose": "LOCATION",
"city": "Blacksburg",
"state": "VA",
"postal_code": "240607017",
"country_code": "US",
"telephone_number": "540-953-3528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANTRELL",
"first_name": "GARY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-04",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0062666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.