Individual provider Active NPI

Ryan Buckley, MD

  • Allergy & Immunology Physician
  • Littleton, CO
National Provider Identifier
1346628138
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
DR.0064420 Issued in CO
Practice address
5920 S Estes St Ste 120
Littleton, CO 80123-8618
Phone
(303) 971-0311
Fax
(303) 948-0339
NPI assigned
May 12, 2015
Last updated
May 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X DR.0064420 CO Primary

Addresses

Primary practice location

5920 S Estes St Ste 120
Littleton, CO 80123-8618

Mailing address

125 Rampart Way Ste 200
Denver, CO 80230-6429
Phone (720) 858-7550

Other practice location 1

2352 Meadows Blvd Ste 300
Castle Rock, CO 80109-8419
Phone (720) 858-7470

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
I20200622002641 CO Practitioner - Allergy/Immunology 3577828664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Allergy and Asthma Centers PCGroup PAC ID 9133012842, 25 clinicians

Practice addresses (Care Compare)

2014 Caribou Dr
Suite 200
Fort Collins, CO 80525-4388
Phone (970) 221-1681

Merit-based Incentive Payment System (MIPS)

Final score
64.87 of 100Reported as group
Quality
41.92
Promoting interoperability
62
Improvement activities
40
Cost
72.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0064420COMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Allergy and Asthma Centers, PC CurrentSince Jul 1, 2020 Accepting new patients
Colorado Allergy and Asthma Centers, PC CurrentSince Jul 25, 2021 Accepting new patients
Colorado Allergy and Asthma Centers, PC CurrentSince Jul 25, 2021 Accepting new patients
Colorado Allergy and Asthma Centers, PC PastSince Aug 8, 2021 Accepting new patients
Colorado Allergy and Asthma Centers, PC PastSince Jul 25, 2021 Accepting new patients

Locations

4700 E Bromley Ln
Ste 207
Brighton, CO 80601
Phone (303) 654-1234

125 Rampart Way
Ste 100
Denver, CO 80230
Phone (720) 858-7551

125 Rampart Way
Ste 200
Denver, CO 80230
Phone (720) 858-7550

2014 Caribou Dr
Ste 200
Fort Collins, CO 80525
Phone (970) 221-1681

9331 S Colorado Blvd
Ste 100
Highlands Ranch, CO 80126
Phone (303) 795-8177

5920 S Estes St
Ste 120
Littleton, CO 80123
Phone (303) 971-0311

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1346628138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RAMPART WAY STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306429",
            "telephone_number": "720-858-7550",
            "fax_number": "720-858-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 S ESTES ST STE 120",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801238618",
            "telephone_number": "303-971-0311",
            "fax_number": "303-948-0339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2352 Meadows Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801098419",
            "country_code": "US",
            "telephone_number": "720-858-7470",
            "fax_number": "303-797-2166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "DR.0064420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.