Individual provider Active NPI

Elena Motuzko, MD

  • Diagnostic Radiology Physician
  • Glenwood Springs, CO
National Provider Identifier
1275898470
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD461286 Issued in PA
Practice address
1906 Blake Avenue
Glenwood Springs, CO 81601
Phone
(970) 945-7564
Fax
(970) 945-0563
NPI assigned
Jul 13, 2012
Last updated
Dec 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X DR.0060914 CO
Diagnostic Radiology Physician 2085R0202X MD461286 PA Primary

Addresses

Primary practice location

1906 Blake Avenue
Glenwood Springs, CO 81601

Mailing address

PO Box #2010
Glenwood Springs, CO 81602-2010
Phone (970) 945-7564

Other names 1

  • Olena Gileykova Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181004002362 CO Practitioner - Diagnostic Radiology 8527310390 Reassigns benefits to 1 organization
I20210519001238 FL Practitioner - Diagnostic Radiology 8527310390 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.74 of 100Reported as group
Quality
85
Improvement activities
40
Cost
74.49

Merit-based Incentive Payment System (MIPS)

Final score
71.5 of 100Reported as group
Quality
66.47
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0060914COMDNeuroradiology Physician
MD461286PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Wyoming Valley, Inc Diagnostic Radiology CurrentSince Jun 4, 2019 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Dec 2, 2023 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Dec 2, 2023 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology Current Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Jan 16, 2024 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Manatee Memorial Hospital L P Current Accepting new patients
Manatee Memorial Hospital LP CurrentSince Jan 16, 2024 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Dec 29, 2024 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Sep 20, 2022 Accepting new patients

Locations (25 of 32)

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

2250 Osprey Blvd
Ste 100
Bartow, FL 33830
Phone (863) 533-7151

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

250 2nd St E
Bradenton, FL 34208
Phone (941) 708-8152

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

40124 Highway 27
Davenport, FL 33837
Phone (863) 419-2500

3016 Dyer Blvd
Kissimmee, FL 34741
Phone (941) 782-9456

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064

1305 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-0251

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1417 Lakeland Hills Blvd
Ste 102
Lakeland, FL 33805
Phone (863) 577-0316

2120 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 557-0303

2135 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1250

2400 Kathleen Rd
Lakeland, FL 33810
Phone (863) 284-3950

3221 S Florida Ave
Ste A
Lakeland, FL 33803
Phone (863) 577-8596

3221 S Florida Ave
Ste B
Lakeland, FL 33803
Phone (863) 577-0296

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

6150 S Florida Ave
Lakeland, FL 33813
Phone (863) 284-1693

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

8330 Lakewood Ranch Blvd
Ste 100
Lakewood Ranch, FL 34202
Phone (941) 782-2100

18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010

6760 Fruitville Rd
Sarasota, FL 34240
Phone (941) 378-7500

2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9390

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1275898470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX #2010",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816022010",
            "telephone_number": "970-945-7564",
            "fax_number": "970-945-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVENUE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "81601",
            "telephone_number": "970-945-7564",
            "fax_number": "970-945-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTUZKO",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CO",
            "license": "DR.0060914",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD461286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLENA",
            "last_name": "GILEYKOVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.