NPIMap

Individual provider Active NPI

William J Bufkin, M.D.

  • Diagnostic Radiology Physician
  • Pueblo, CO
National Provider Identifier
1285616045
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
18311 Issued in CO
Practice address
124 W Pitkin Ave
Pueblo, CO 81004-2021
Phone
(719) 584-7410
Fax
(719) 542-7019
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 18311 CO Primary

Addresses

Primary practice location

124 W Pitkin Ave
Pueblo, CO 81004-2021

Mailing address

124 W Pitkin Ave
Pueblo, CO 81004-2021
Phone (719) 584-7410

Other identifiers 1

IdentifierTypeStateIssuer
44272758MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031119000656 TX Practitioner - Diagnostic Radiology 8325952609 Reassigns benefits to 1 organization
I20040318000873 CO Practitioner - Diagnostic Radiology 8325952609 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Colorado Springs, CO 80906
Phone (800) 841-4236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.28 of 100Reported as group
Quality
90
Improvement activities
40
Cost
77.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18311COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Colorado Medical Group LLC CurrentSince Mar 14, 2022 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Apr 26, 2021 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Mar 14, 2022 Accepting new patients
Radiology Associates of Albuquerque, PA Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Advanced Imaging LLC Diagnostic Radiology CurrentSince Apr 12, 2023 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Apr 26, 2021 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology Past Accepting new patients

Locations

1633 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 636-2999

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900

4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800

6 Road 7586
Bloomfield, NM 87413
Phone (505) 368-8015

3500 Gaston Ave
Dallas, TX 75246

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1285616045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W PITKIN AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042021",
            "telephone_number": "719-584-7410",
            "fax_number": "719-542-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W PITKIN AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042021",
            "telephone_number": "719-584-7410",
            "fax_number": "719-542-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFKIN",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "18311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44272758",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.