NPIMap

Individual provider Active NPI

Gregory C Reicks, D.O.

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1326049321
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29342 Issued in CO
Practice address
2570 Patterson Rd
Grand Junction, CO 81505-1438
Phone
(970) 298-6601
Fax
(970) 298-6641
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29342 CO Primary

Addresses

Primary practice location

2570 Patterson Rd
Grand Junction, CO 81505-1438

Mailing address

2503 Foresight Circle
Grand Junction, CO 81505
Phone (970) 242-2660

Other identifiers 4

IdentifierTypeStateIssuer
01293422MedicaidCO
080032251OtherCORAIL ROAD MEDICARE
REU8418OtherCOBLUE CROSS BLUE SHIELD
29342OtherCOMEDICAL LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110209000718 CO Practitioner - Family Practice 3476554999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intermountain Medical Group Grand Junction, LLCGroup PAC ID 3779707856, 297 clinicians

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

2570 Patterson Rd
Grand Junction, CO 81505-1438
Phone (970) 298-6918

Hospital & facility affiliations

  • Elite Care at Home Home health agency, Grand Junction, CO, CCN 067511
  • Adoration Home Health Home health agency, Grand Junction, CO, CCN 067573
  • Hopewest Grand Junction Hospice, Grand Junction, CO, CCN 061527
  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023
  • Community Hospital Hospital, Grand Junction, CO, CCN 060054
  • Family Health West Hospital Hospital, Fruita, CO, CCN 061302

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions15
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29342COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Dec 28, 2020 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Dec 28, 2020 Accepting new patients
St Mary'S Hospital and Medical Center, Inc Family Medicine Past Accepting new patients

Locations

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

735 White Ave
Grand Junction, CO 81501
Phone (970) 248-5880

2503 Foresight Cir
Grand Junction, CO 81505
Phone (970) 242-2660

2570 Patterson Rd
Grand Junction, CO 81505
Phone (970) 298-6601

Organizations & group practices 4

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 12

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1326049321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 FORESIGHT CIRCLE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81505",
            "telephone_number": "970-242-2660",
            "fax_number": "970-242-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 PATTERSON RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051438",
            "telephone_number": "970-298-6601",
            "fax_number": "970-298-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICKS",
        "first_name": "GREGORY",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2021-10-14",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "29342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01293422",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "080032251",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "REU8418",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "29342",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.