David M. Squicquero, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

40862 Issued in CO

Practice address

5133 Shavano CT
Windsor, CO 80550-2583

Phone

(970) 674-1201

Fax

(970) 674-0221

NPI assigned

Aug 13, 2006

Last updated

Oct 31, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

84.8 of 100Reported as group

Quality

85

Improvement activities

40

Cost

76.83

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Colorado Springs Radiologists PC

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
  • NPI 1629168406
  NPD
• Penrad Imaging LLC

  • Radiology Clinic/Center
  • Colorado Springs, CO
  • NPI 1699376038
  NPD
• Diversified Radiology of Colorado, Inc

  • Diagnostic Radiology Physician
  • Lakewood, CO
  • NPI 1205923596
  NPD (past)
• Flatirons Radiology, LLC

  • Body Imaging Physician
  • Denver, CO
  • NPI 1700911393

  Diagnostic Radiology

  NPD (past)
• Penrad Imaging LLC

  • Radiology Clinic/Center
  • Colorado Springs, CO
  • NPI 1275134611
  NPD (past)
• Penrad Imaging LLC

  • Radiology Clinic/Center
  • Colorado Springs, CO
  • NPI 1770105900
  NPD (past)
• Dean Shippey

  • Radiology Clinic/Center
  • Lovington, NM
  • NPI 1649467747

  Diagnostic Radiology

  NPD (past)
• East Texas Medical Alliance LLP

  dba First MedChoice

  • Pediatrics Physician
  • Palestine, TX
  • NPI 1003935172
  NPD (past)
• Hobbs Family Practice LLC

  • Family Medicine Physician
  • Hobbs, NM
  • NPI 1558558650
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1417969684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 SHAVANO CT",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805502583",
            "telephone_number": "970-674-1201",
            "fax_number": "970-674-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 SHAVANO CT",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805502583",
            "telephone_number": "970-674-1201",
            "fax_number": "970-674-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUICQUERO",
        "first_name": "DAVID",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "40862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83176713",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Alexis Smith
• Casey Lee Snodgress, D.O.
• Michelle Softich, RDH
• Randi Spencer, LAT, ATC
• Frederick Garrison Spooner, RPH
• Sandi Yvonne Squicquero, LPC
• Ilia Srygley, OTR
• SSC Windsor Operating Company LLC (Windsor Healthcare Center)
• Staci Stone Occupational Therapy, LLC
• Haidyn Stahl, OTR/L

• Diagnostic Radiology Physician in Windsor, CO
• Providers in Windsor, CO by specialty
• Diagnostic Radiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.

Verify at the official NPI Registry.