NPIMap

Individual provider Active NPI

Tiffany Wyatt, DO

  • Internal Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1326622820
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0075638 Issued in CO
Practice address
607 28 1/4 Rd
Grand Junction, CO 81506-6018
Phone
(970) 243-3300
NPI assigned
May 11, 2021
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0075638 CO Primary

Addresses

Primary practice location

607 28 1/4 Rd
Grand Junction, CO 81506-6018

Mailing address

607 28 1/4 Rd
Grand Junction, CO 81506-6018
Phone (970) 243-3300

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
I20250808002284 CO Practitioner - Internal Medicine 8224439369 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians
Homedoc, PCGroup PAC ID 2961936927, 43 clinicians

Practice addresses (Care Compare)

607 28
Grand Junction, CO 81506-6018
Phone (970) 243-3300

8354 E Northfield Blvd
Suite 329
Denver, CO 80238-3131
Phone (720) 607-9207

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC Internal Medicine Current Accepting new patients
Colorado West Healthcare System CurrentSince Nov 1, 2025 Accepting new patients
Community Medical Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
Colorado West Healthcare System CurrentSince Nov 1, 2025 Accepting new patients
Community Medical Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
Western Medical Associates, P.C. Past Accepting new patients
Internal Medicine Associates of Grand Junction PC Internal Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/849/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1326622820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 28 1/4 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815066018",
            "telephone_number": "970-243-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 28 1/4 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815066018",
            "telephone_number": "970-243-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0075638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.