Active NPI
Joseph P Jimenez, M.D.
- Family Medicine Physician
- Trinidad, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26122
- Practice address
- 400 Benedicta Ave
Trinidad, CO 81082-2089 - Phone
- (719) 846-2206
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26122 | CO | Primary |
Addresses
Primary practice location
400 Benedicta Ave
Trinidad, CO 81082-2089
Mailing address
400 Benedicta Ave
Trinidad, CO 81082-2089
Phone (719) 846-2206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01261221 | Medicaid | CO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Colorado School of Medicine, Denver, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinidad Area Health Association
Practice addresses (Care Compare)
400 Benedicta Ave
Suite a
Trinidad, CO 81082-2089
Phone (719) 846-2206
Hospital & facility affiliations
- Sangre de Cristo Community Care LLC
- Mt San Rafael Hospital
- St Mary-Corwin Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.05 of 100
- Quality
- 84.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 51.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26122 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinidad Area Health Association | Current | Accepting new patients | |
| Trinidad Area Health Association | Current | Accepting new patients | |
| Trinidad Area Health Association | Family Medicine | Current | Accepting new patients |
Locations
410 Benedicta Ave
Ste A
Trinidad, CO 81082
400 Benedicta Ave
Ste A
Trinidad, CO 81082
Phone (719) 846-2206
410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Trinidad, CO
- NPI 1184616740
-
- Family Medicine Physician
- Trinidad, CO
- NPI 1467400309
-
- Orthopaedic Surgery Physician
- Trinidad, CO
- NPI 1548965999
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- La Junta, CO
- NPI 1386120707
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1306857974
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1841830452
-
- Nursing Facility/Intermediate Care Facility
- Pueblo, CO
- NPI 1942391487
Hospital
-
- Critical Access Hospital
- Trinidad, CO
- NPI 1184616740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332720000000",
"number": "1366400681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BENEDICTA AVE",
"city": "TRINIDAD",
"state": "CO",
"postal_code": "810822089",
"telephone_number": "719-846-2206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BENEDICTA AVE",
"city": "TRINIDAD",
"state": "CO",
"postal_code": "810822089",
"telephone_number": "719-846-2206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "JOSEPH",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2012-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "26122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01261221",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trinidad, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.