Active NPI
Irene Monica Minkoff, MD
- Hematology & Oncology Physician
- Grand Junction, CO
National Provider Identifier
1427004142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD00038292
- Practice address
- 750 Wellington Ave
Grand Junction, CO 81501-6132 - Phone
- (970) 244-7500
- Fax
- (970) 255-7262
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 39646 | CO | |
| Hematology & Oncology Physician | 207RH0003X | DR-39646 | CO | |
| Hematology & Oncology Physician | 207RH0003X | MD00038292 | WA | Primary |
Addresses
Primary practice location
750 Wellington Ave
Grand Junction, CO 81501-6132
Mailing address
PO Box 62
Grand Junction, CO 81502-0062
Phone (970) 244-7500
Other practice location 1
505 NE 87th Ave Ste 320
Vancouver, WA 98664-1965
Phone (360) 514-2550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45751544 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39646 | CO | MD | Specialist |
| DR-39646 | CO | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Cancer Centers, LLP | Hematology & Oncology | Past | Accepting new patients |
| St Mary'S Hospital and Medical Center, Inc | Hematology & Oncology | Past | Accepting new patients |
Interoperability endpoints
- iminkoff610061@direct.peacehealth.org
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Longmont, CO
- NPI 1538762760
-
- Hematology & Oncology Physician
- Grand Junction, CO
- NPI 1275714081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1427004142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815020062",
"telephone_number": "970-244-7500",
"fax_number": "970-255-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 WELLINGTON AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815016132",
"telephone_number": "970-244-7500",
"fax_number": "970-255-7262"
}
],
"practiceLocations": [
{
"address_1": "505 NE 87th Ave Ste 320",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986641965",
"country_code": "US",
"telephone_number": "360-514-2550",
"fax_number": "360-514-1927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINKOFF",
"first_name": "IRENE",
"middle_name": "MONICA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "39646",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CO",
"license": "DR-39646",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WA",
"license": "MD00038292",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45751544",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.