NPIMap

Individual provider Active NPI

John G Highfill, M.D.

  • Family Medicine Physician
  • Pueblo, CO
National Provider Identifier
1356346548
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39397 Issued in CO
Practice address
916 Indiana Ave
Ste 110
Pueblo, CO 81004-3572
Phone
(719) 566-9120
Fax
(719) 566-9121
NPI assigned
Jun 15, 2005
Last updated
Jul 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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 39397 CO Primary

Addresses

Primary practice location

916 Indiana Ave
Ste 110
Pueblo, CO 81004-3572

Mailing address

916 Indiana Ave
Suite 110
Pueblo, CO 81004-3572
Phone (719) 566-9120

Other identifiers 8

IdentifierTypeStateIssuer
P00111767OtherCORAILROAD MEDICARE
080153127OtherCOMEDICARE RAILROAD
86502751MedicaidCO
200180057OtherCOROCKY MOUNTAIN HMO
95999OtherCOPACIFICARE PPO
HI657288OtherCOBCBS
200180057OtherCOTAX ID #
200180057OtherCOPACIFICARE

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
I20040427000243 CO Practitioner - Family Practice 6406843135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

916 Indiana Ave
Suite 110
Pueblo, CO 81004-3572
Phone (719) 566-9120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39397COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John G Highfill MD Prof LLC Family Medicine CurrentSince Sep 29, 2003 Accepting new patients
Hospitalists of Pueblo Past Accepting new patients

Locations

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

916 Indiana Ave
Ste 110
Pueblo, CO 81004
Phone (719) 566-9120

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16394/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 10

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1356346548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 INDIANA AVE",
            "address_2": "SUITE 110",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043572",
            "telephone_number": "719-566-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 INDIANA AVE",
            "address_2": "STE 110",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043572",
            "telephone_number": "719-566-9120",
            "fax_number": "719-566-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHFILL",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00111767",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080153127",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86502751",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HMO",
            "identifier": "200180057",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE PPO",
            "identifier": "95999",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HI657288",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "200180057",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "200180057",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.