Individual provider Active NPI

Brian L. Ravert, M.D.

  • Vascular & Interventional Radiology Physician
  • Englewood, CO
National Provider Identifier
1336338086
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
DR.0051056 Issued in CO
Practice address
10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Phone
(303) 761-9190
Fax
(720) 874-4462
NPI assigned
Oct 18, 2007
Last updated
Mar 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DR.0051056 CO
Vascular & Interventional Radiology Physician 2085R0204X DR.0051056 CO Primary

Addresses

Primary practice location

10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 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
I20120604000326 CO Practitioner - Diagnostic Radiology 6608030648 Reassigns benefits to 10 organizations
I20220217001828 KS Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6608030648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Imaging Associates PCGroup PAC ID 2860391257, 147 clinicians
Ria Endovascular LLCGroup PAC ID 5597709717, 30 clinicians

Practice addresses (Care Compare)

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

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

220 W
2ND Goodland Regional Medical Center
Goodland, KS 67735-1602
Phone (785) 890-3625

8200 E Belleview Ave
Suite 600E
Greenwood Village, CO 80111-2898
Phone (720) 493-3406

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal25
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0051056COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Radiologic Associates, LTD. Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new 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 Jan 1, 2020 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Ria Endovascular, LLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Banner Imaging Services Colorado LLC CurrentSince Oct 1, 2020 Accepting new patients
Dodge City Diagnostic, LLC CurrentSince Jan 1, 2021 Accepting new patients
Yampa Valley Medical Center Current Accepting new patients
Yampa Valley Medical Center CurrentSince Aug 5, 2013 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Garden City Diagnostics LLC CurrentSince Jan 1, 2022 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology Past Accepting new patients
Yampa Valley Medical Center Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients

Locations

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

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

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

10700 E Geddes Ave
Ste 200
Englewood, CO 80112

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

401 W Hampden Pl
Ste 40
Englewood, CO 80110

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

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

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

8200 E Belleview Ave
Ste 600E
Greenwood Village, CO 80111
Phone (720) 493-3406

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

6169 S Balsam Way
Ste 170
Littleton, CO 80123
Phone (303) 841-3100

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

10107 Ridgegate Pkwy
Ste 110
Lone Tree, CO 80124
Phone (720) 493-3539

10450 Park Meadows Dr
Ste 105
Lone Tree, CO 80124
Phone (303) 925-0075

1900 Boise Ave
Ste 110
Loveland, CO 80538
Phone (970) 810-6070

2555 E 13th St
Ste 100
Loveland, CO 80537
Phone (970) 461-6193

12219 Pine Bluffs Way
Ste 111
Parker, CO 80134

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

670 Ponahawai St
Ste 110
Hilo, HI 96720
Phone (808) 933-2540

82 Puuhonu Pl
Ste 102
Hilo, HI 96720
Phone (808) 961-4745

75-5653 Kuakini Hwy
Ste 110
Kailua Kona, HI 96740
Phone (808) 329-7314

201 Albert Ave
Scott City, KS 67871
Phone (620) 872-2187

Organizations & group practices 17

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 17

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1336338086",
    "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": "10800 E GEDDES AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123895",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVERT",
        "first_name": "BRIAN",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0051056",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "DR.0051056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.