Individual provider Active NPI

Ian A. Kaminsky, M.D.

  • Diagnostic Radiology Physician
  • Englewood, CO
National Provider Identifier
1316151913
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
58053 Issued in CO
Practice address
501 E Hampden Ave
Englewood, CO 80113-2702
Phone
(303) 761-9190
Fax
(720) 874-4462
NPI assigned
May 10, 2007
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301088704 MI
Neuroradiology Physician 2085N0700X 258700 MA
Diagnostic Radiology Physician 2085R0202X 260319 NY
Diagnostic Radiology Physician 2085R0202X 58053 CO Primary

Addresses

Primary practice location

501 E Hampden Ave
Englewood, CO 80113-2702

Mailing address

10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Phone (303) 761-9190

Other practice location 1

10700 E Geddes Ave Ste 200
Englewood, CO 80112-3861
Phone (303) 761-9190

Other identifiers 12

IdentifierTypeStateIssuer
561515YQ33OtherCOMEDICARE PIN
NA2517097OtherNEMEDICARE PIN
561515ZNTBOtherCOMEDICARE PIN
KA324096OtherKSMEDICARE PIN
111257105OtherKSMEDICARE PIN
NA1214118OtherNEMEDICARE PIN
NA1215119OtherNEMEDICARE PIN
561515YQN9OtherCOMEDICARE PIN
561515ZLJ3OtherCOMEDICARE PIN
1316151913MedicaidCO
561515YQ3LOtherCOMEDICARE PIN
561515YQPGOtherCOMEDICARE PIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170320001729 CO Practitioner - Diagnostic Radiology 5092956813 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Imaging Associates PCGroup PAC ID 2860391257, 147 clinicians

Practice addresses (Care Compare)

10450 Park Meadows Dr
Suite 105
Lone Tree, CO 80124-5528
Phone (720) 493-3564

10800 E Geddes Ave
Suite 300
Englewood, CO 80112-3895
Phone (303) 761-9190

6169 Balsam Way
Suite 170
Littleton, CO 80123-3062
Phone (720) 493-3700

7700 S Broadway
Littleton Hospital
Littleton, CO 80122-2602
Phone (303) 730-5880

8200 E Belleview Ave
Suite 200 E
Greenwood Village, CO 80111-2804
Phone (303) 761-9190

8200 E Belleview Ave 300
Centrum Surgical Center
Greenwood Village, CO 80111-2804
Phone (303) 290-0600

8200 Southpark Ter
Littleton, CO 80120-5614
Phone (720) 493-3251

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

Merit-based Incentive Payment System (MIPS)

Final score
70.7 of 100Reported as group
Quality
65.53
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301088704MIMDInternal Medicine Physician
258700MAMDNeuroradiology Physician
58053COMDDiagnostic Radiology Physician
260319NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Imaging Services Colorado LLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Apr 24, 2017 Accepting new patients
Ria Endovascular, LLC Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
Banner Imaging Services Colorado LLC CurrentSince Oct 1, 2020 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Apr 24, 2017 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients

Locations (25 of 46)

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

1400 S Potomac St
Ste 180
Aurora, CO 80012
Phone (303) 695-2603

1400 S Potomac St
Ste 180B
Aurora, CO 80012

9681 Prominent Pt
Ste 130
Colorado Springs, CO 80924
Phone (719) 600-3700

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

2055 N High St
Ste 180
Denver, CO 80205
Phone (303) 839-7490

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

10700 E Geddes Ave
Ste 200
Englewood, CO 80112

10800 E Geddes Ave
Ste 300
Englewood, CO 80112
Phone (303) 791-9190

14200 E Arapahoe Rd
Englewood, CO 80112
Phone (303) 699-3000

401 W Hampden Pl
Ste 40
Englewood, CO 80110

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

701 E Hampden Ave
Ste 110
Englewood, CO 80113
Phone (303) 515-2023

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

702 W Drake Rd
Ste A
Fort Collins, CO 80526
Phone (970) 229-4600

400 Indiana St
Ste 100
Golden, CO 80401
Phone (720) 420-3000

400 Indiana St
Ste 130
Golden, CO 80401
Phone (720) 493-3411

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

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

1801 16th St
Ste 4
Greeley, CO 80631

2001 70th Ave
Ste 300
Greeley, CO 80634
Phone (970) 810-6353

5890 W 13th St
Ste 101
Greeley, CO 80634
Phone (970) 348-0020

8200 E Belleview Ave
Ste 124
Greenwood Village, CO 80111
Phone (303) 741-1501

8200 E Belleview Ave
Ste 124C
Greenwood Village, CO 80111
Phone (720) 493-3272

8200 E Belleview Ave
Ste 200E
Greenwood Village, CO 80111
Phone (303) 850-3200

Organizations & group practices 25

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 25

Hospital & facility affiliations 9

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1316151913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 E GEDDES AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123895",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HAMPDEN AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132702",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 E Geddes Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801123861",
            "country_code": "US",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMINSKY",
        "first_name": "IAN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301088704",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MA",
            "license": "258700",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "260319",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "58053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "561515YQ33",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "NA2517097",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "561515ZNTB",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "KA324096",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "111257105",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "NA1214118",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "NA1215119",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "561515YQN9",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "561515ZLJ3",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316151913",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "561515YQ3L",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "561515YQPG",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.