Individual provider Active NPI

Alexander Martin Skopec, MD

  • Diagnostic Radiology Physician
  • Saint Peters, MO
National Provider Identifier
1417339839
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2021018338 Issued in MO
Practice address
10 Hospital Dr
Dept Radiology
Saint Peters, MO 63376-1659
Phone
(636) 916-9000
Fax
(314) 747-4189
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2021018338 MO Primary

Addresses

Primary practice location

10 Hospital Dr
Dept Radiology
Saint Peters, MO 63376-1659

Mailing address

660 S Euclid Ave
CB 8131
Saint Louis, MO 63110-1010
Phone (314) 362-7200

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CO2 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
I20210608002288 MO Practitioner - Diagnostic Radiology 7618280181 Reassigns benefits to 2 organizations
I20230713003892 CO Practitioner - Diagnostic Radiology 7618280181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Imaging Associates P CGroup PAC ID 6800880055, 61 clinicians

Practice addresses (Care Compare)

11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (303) 433-9729

11650 W 2ND PL
Lakewood, CO 80228-1527
Phone (303) 433-9729

1950 Mountain View Ave
Longmont, CO 80501-3129
Phone (303) 651-5121

7233 Church Ranch Blvd
Westminster, CO 80021-4094
Phone (303) 925-4420

9949 S Oswego St
Parker, CO 80134-3753

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021018338MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miracl, LLC CurrentSince Aug 2, 2021 Accepting new patients
Washington University Diagnostic Radiology CurrentSince Aug 2, 2021 Accepting new patients
Colorado Imaging Associates P C Diagnostic Radiology CurrentSince Aug 28, 2023 Accepting new patients

Locations (25 of 46)

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

7375 W 52nd Ave
Ste 210
Arvada, CO 80002
Phone (720) 741-0810

16280 W 64th Ave
Arvada, CO 80007
Phone (720) 898-1110

1700 S Potomac St
Aurora, CO 80012
Phone (303) 418-7600

4715 Arapahoe Ave
Boulder, CO 80303
Phone (303) 385-2000

400 N Park Ave
Ste 1A
Breckenridge, CO 80424
Phone (970) 547-9200

286 16th St
Burlington, CO 80807
Phone (719) 346-5311

6031 E Woodmen Rd
Ste 200
Colorado Springs, CO 80923
Phone (719) 577-2555

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

2777 Mile High Stadium Cir
Denver, CO 80211
Phone (303) 825-8822

1800 N Williams St
Ste 100
Denver, CO 80218
Phone (303) 285-5020

32214 Ellingwood Trl
Ste 210
Evergreen, CO 80439
Phone (303) 679-2020

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

760 Warner Dr
Golden, CO 80401
Phone (303) 925-4360

1000 Granby Park Dr S
Granby, CO 80446
Phone (970) 668-5771

235 W Fletcher St
Haxtun, CO 80731
Phone (970) 351-0999

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

255 S Routt St
Ste 300
Lakewood, CO 80228
Phone (720) 321-8280

11650 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-5160

11700 W 2nd Pl
Ste 150
Lakewood, CO 80228
Phone (720) 321-8020

3280 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 649-3620

11700 W 2nd Pl
Ste 410
Lakewood, CO 80228
Phone (720) 321-8280

822 W 4th St
Leadville, CO 80461
Phone (719) 486-0230

22 W Dry Creek Cir
Littleton, CO 80120
Phone (303) 730-4700

10107 Ridgegate Pkwy
Ste 200
Lone Tree, CO 80124
Phone (303) 925-0700

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1417339839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "CB 8131",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-7200",
            "fax_number": "314-747-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR",
            "address_2": "DEPT RADIOLOGY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761659",
            "telephone_number": "636-916-9000",
            "fax_number": "314-747-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOPEC",
        "first_name": "ALEXANDER",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2021-11-15",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2021018338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "10 Hospital Dr",
            "address_2": "Dept Radiology",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633761659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.