NPIMap

Individual provider Active NPI

Steven Harry Peck, MD

  • Vascular & Interventional Radiology Physician
  • Fort Collins, CO
National Provider Identifier
1366458770
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
DR.0031957 Issued in CO
Practice address
1024 Lemay Ave
Fort Collins, CO 80524
Phone
(970) 495-8600
Fax
(970) 495-7619
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 22898 NE
Vascular & Interventional Radiology Physician 2085R0204X 7358A WY
Vascular & Interventional Radiology Physician 2085R0204X DR.0031957 CO Primary

Addresses

Primary practice location

1024 Lemay Ave
Fort Collins, CO 80524

Mailing address

2008 Caribou Drive
Fort Collins, CO 80525
Phone (970) 484-4757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE, WY, WA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20041124000211 CO Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1052217809 Reassigns benefits to 2 organizations
I20060113000869 NE Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1052217809 Reassigns benefits to 1 organization
I20070104000247 WY Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1052217809 Reassigns benefits to 1 organization
I20250626000160 WA Practitioner - Diagnostic Radiology 1052217809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Wisconsin School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians
Fort Collins Radiologic Associates PCGroup PAC ID 7315844396, 63 clinicians

Practice addresses (Care Compare)

100 Cook St
Suite 100
Denver, CO 80206-5327
Phone (720) 516-9420

1000 Pole Creek Xing
Sidney, NE 69162-2901
Phone (308) 254-7268

1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone (970) 495-7000

1310 9TH St
Apt 504
Bellingham, WA 98225-6898
Phone (970) 484-4757

255 N 30TH St
Laramie, WY 82072-5140
Phone (307) 742-2141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22898NEMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Sep 8, 2020 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology Current Accepting new patients
Uchealth Imaging Services LLC CurrentSince Sep 8, 2020 Accepting new patients
Fort Collins Radiologic Associates PC Diagnostic Radiology CurrentSince Dec 1, 2005 Accepting new patients
Touchstone Imaging of Denver LLC Past Accepting new patients
Radiology Specialists of Denver-PC PastSince Feb 1, 2000 Accepting new patients
Dry Creek Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000

100 Cook St
Ste 212
Denver, CO 80206
Phone (720) 516-9200

100 Cook St
Ste 410
Denver, CO 80206
Phone (720) 516-9420

5589 Argonne St
Denver, CO 80249
Phone (303) 371-0330

100 Cook St
Ste 100
Denver, CO 80206
Phone (720) 516-9420

100 Cook St
Ste 404
Denver, CO 80206
Phone (720) 516-9200

1915 Wilmington Dr
Unit 100
Fort Collins, CO 80528
Phone (970) 267-2661

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

2008 Caribou Dr
Fort Collins, CO 80525

2127 E Harmony Rd
Ste 130
Fort Collins, CO 80528
Phone (970) 207-4700

2127 E Harmony Rd
Ste 100
Fort Collins, CO 80528
Phone (970) 207-4700

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

9620 E Arapahoe Rd
Greenwood Village, CO 80112
Phone (303) 222-2118

4508 Endeavor Dr
Ste 200
Johnstown, CO 80534
Phone (970) 282-2912

1750 E Ken Pratt Blvd
Longmont, CO 80504
Phone (720) 718-7000

1760 E Ken Pratt Blvd
Ste 101
Longmont, CO 80504
Phone (720) 718-5100

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

16990 Village Center Dr E
Parker, CO 80134
Phone (303) 805-3020

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

1000 W 8th Ave
Yuma, CO 80759
Phone (970) 345-6336

1313 S St
Bridgeport, NE 69336
Phone (308) 262-1616

255 W 4th St
Kimball, NE 69145
Phone (308) 235-1951

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

Organizations & group practices 7

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.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1366458770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 CARIBOU DRIVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-484-4757",
            "fax_number": "970-377-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-495-8600",
            "fax_number": "970-495-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "STEVEN",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NE",
            "license": "22898",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WY",
            "license": "7358A",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "DR.0031957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.