NPIMap

Individual provider Active NPI

Maria Wurster Tucker, D.O.

  • Diagnostic Radiology Physician
  • Lakewood, CO
National Provider Identifier
1285078394
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0062655 Issued in CO
Practice address
11700 W 2ND PL Ste 1000
Lakewood, CO 80228-1704
Phone
(720) 321-8460
Fax
(303) 321-8231
NPI assigned
Apr 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X TL5886 WY
Diagnostic Radiology Physician 2085R0202X A-2133-18 NM
Diagnostic Radiology Physician 2085R0202X 2057 NE
Diagnostic Radiology Physician 2085R0202X DR.0062655 CO Primary

Addresses

Primary practice location

11700 W 2ND PL Ste 1000
Lakewood, CO 80228-1704

Mailing address

11700 W 2ND PL Ste 100
Lakewood, CO 80228-1707
Phone (720) 321-8230

Other practice location 1

1024 S LeMay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, OK3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190814003586 CO Practitioner - Diagnostic Radiology 6507146123 Reassigns benefits to 1 organization
I20260401001094 TX Practitioner - Diagnostic Radiology 6507146123 Reassigns benefits to 11 organizations
I20260401001510 OK Practitioner - Diagnostic Radiology 6507146123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee NationGroup PAC ID 5799698742, 446 clinicians
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Diagnostic Imaging Associates IncGroup PAC ID 8820083645, 88 clinicians

Practice addresses (Care Compare)

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

1001 S 41St St E
Three Rivers Health Center
Muskogee, OK 74403-6253
Phone (918) 687-0201

109 Kerr Blvd
Poteau, OK 74953-5231
Phone (539) 316-6391

1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424

27371 S 4410 Rd
Vinita, OK 74301-7953
Phone (918) 256-4800

301 S J T Stites St
Sallisaw, OK 74955-9302
Phone (918) 775-9150

8789 Longs Peak Cir
Windsor, CO 80550-2663
Phone (918) 935-3550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TL5886WYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yampa Valley Medical Center Current Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Yampa Valley Medical Center CurrentSince Mar 7, 2020 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince May 24, 2021 Accepting new patients
Yampa Valley Medical Center CurrentSince Mar 7, 2020 Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Yampa Valley Medical Center Past Accepting new patients
Comanche County Hospital Authority Southwest Radiology Diagnostic Radiology PastSince Feb 1, 2022 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 7

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1285078394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 W 2ND PL STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281707",
            "telephone_number": "720-321-8230",
            "fax_number": "720-321-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 W 2ND PL STE 1000",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281704",
            "telephone_number": "720-321-8460",
            "fax_number": "303-321-8231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1024 S LeMay Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "80524",
            "country_code": "US",
            "telephone_number": "970-495-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "MARIA",
        "middle_name": "WURSTER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "TL5886",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "A-2133-18",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "2057",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0062655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.