Individual provider Active NPI

Amy Rebecca Yactor Tolbert, M.D.

  • Diagnostic Radiology Physician
  • Englewood, CO
National Provider Identifier
1386955516
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0055337 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
Jun 22, 2010
Sex
Female
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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD18919 HI
Diagnostic Radiology Physician 2085R0202X 29568 NE
Diagnostic Radiology Physician 2085R0202X 04-39427 KS
Diagnostic Radiology Physician 2085R0202X DR.0055337 CO Primary
Diagnostic Radiology Physician 2085R0202X P6300 TX

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

Other identifiers 5

IdentifierTypeStateIssuer
201145320AMedicaidKS
1386955516MedicaidIA
79454020MedicaidNM
191127MedicaidAZ
71371281MedicaidCO

Other names 1

  • Amy Rebecca Yactor Nixon Former name

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
I20150814014333 CO Practitioner - Diagnostic Radiology 0749595015 Reassigns benefits to 8 organizations
I20160929000663 KS Practitioner - Diagnostic Radiology 0749595015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of New Mexico School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Imaging Associates PCGroup PAC ID 2860391257, 147 clinicians

Practice addresses (Care Compare)

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

2055 N High St
Suite 180
Denver, CO 80205-5552
Phone (303) 761-9190

3001 Ave a
Dodge City, KS 67801-2270
Phone (620) 225-8400

400 Indiana St
Suite 130
Golden, CO 80401-5043
Phone (720) 493-3411

8200 Southpark Ter
Littleton, CO 80120-5614
Phone (720) 493-3251

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18919HIMDDiagnostic Radiology Physician
P6300TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Garden City Diagnostics LLC CurrentSince Feb 22, 2021 Accepting new patients
Banner Imaging Services Colorado LLC CurrentSince Oct 1, 2020 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Oct 4, 2017 Accepting new patients
Hawaii Radiologic Associates, LTD. Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Dodge City Diagnostic, LLC CurrentSince Jan 2, 2018 Accepting new patients
Banner Imaging Services Colorado LLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients

Locations

1400 S Potomac St
Ste 180
Aurora, CO 80012
Phone (303) 695-2603

1400 S Potomac St
Ste 180B
Aurora, CO 80012

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

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

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

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

10700 E Geddes Ave
Ste 200
Englewood, CO 80112

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 124C
Greenwood Village, CO 80111
Phone (720) 493-3272

707 N Iowa St
Gunnison, CO 81230
Phone (970) 641-1771

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

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

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

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

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

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

12219 Pine Bluffs Way
Ste 111
Parker, CO 80134

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 1

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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1386955516",
    "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": "TOLBERT",
        "first_name": "AMY",
        "middle_name": "REBECCA YACTOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD18919",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "29568",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-39427",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0055337",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P6300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201145320A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386955516",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79454020",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191127",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71371281",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "NIXON",
            "middle_name": "REBECCA YACTOR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.