Individual provider Active NPI

James Andrew Conrad, M.D.

  • Surgery Physician
  • Trinidad, CO
National Provider Identifier
1316983083
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
37868 Issued in CO
Practice address
410 Benedicta Ave
Trinidad, CO 81082-2005
Phone
(719) 846-9213
Fax
(719) 846-7823
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 37868 CO Primary

Addresses

Primary practice location

410 Benedicta Ave
Trinidad, CO 81082-2005

Mailing address

410 Benedicta Ave
Trinidad, CO 81082-2005
Phone (719) 846-9213

Other identifiers 1

IdentifierTypeStateIssuer
76159779MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.conrad.1@5071.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 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
I20060815000310 CO Practitioner - General Surgery 6608879515 Reassigns benefits to 6 organizations
I20251010001842 WY Practitioner - General Surgery 6608879515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Vanderbilt University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinidad Area Health AssociationGroup PAC ID 2769394055, 28 clinicians
Teton County Hospital DistrictGroup PAC ID 4880582295, 107 clinicians

Practice addresses (Care Compare)

400 Benedicta Ave
Suite a
Trinidad, CO 81082-2089
Phone (719) 846-2206

555 E Broadway Ave
Suite 229
Jackson, WY 83001-8640
Phone (307) 739-7690

Hospital & facility affiliations

  • St Johns Medical Center Hospital, Jackson, WY, CCN 530015
  • Mt San Rafael Hospital Hospital, Trinidad, CO, CCN 061321

Merit-based Incentive Payment System (MIPS)

Final score
84.05 of 100Reported as group
Quality
84.23
Promoting interoperability
100
Improvement activities
40
Cost
51.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37868COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huerfano County Hospital District Current Accepting new patients
Arkansas Valley Regional Medical Center CurrentSince Apr 29, 2024 Accepting new patients
Teton County Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Trinidad Area Health Association CurrentSince Aug 2, 2021 Accepting new patients
Trinidad Area Health Association Surgery CurrentSince Aug 2, 2021 Accepting new patients
Huerfano County Hospital District CurrentSince Aug 24, 2021 Accepting new patients
Surgical Consultants of Pueblo, PC Surgery Past Accepting new patients

Locations

1100 Carson Ave
Ste 203
La Junta, CO 81050
Phone (719) 383-6425

1100 Carson Ave
Ste 201
La Junta, CO 81050
Phone (719) 383-5900

1100 Carson Ave
La Junta, CO 81050
Phone (719) 383-6000

410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051

400 Benedicta Ave
Ste A
Trinidad, CO 81082
Phone (719) 846-2206

328 S Bonaventure Ave
Trinidad, CO 81082
Phone (719) 846-3597

23400 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-4588

23450 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-4588

23500 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-5100

Interoperability endpoints

  • Direct secure messaging: james.conrad.1@5071.direct.athenahealth.com
  • Direct secure messaging: james.conrad.md@direct.sprhc.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1316983083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 BENEDICTA AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822005",
            "telephone_number": "719-846-9213",
            "fax_number": "719-846-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BENEDICTA AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822005",
            "telephone_number": "719-846-9213",
            "fax_number": "719-846-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "JAMES",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "37868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76159779",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.conrad.1@5071.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Endpoint for Transition of Care CCDs",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDs",
            "address_1": "410 Benedicta Ave",
            "city": "Trinidad",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810822005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trinidad, CO

Sources for this page

Verify at the official NPI Registry.