NPIMap

Individual provider Active NPI

Mark A Twardowski, DO

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1437118387
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31690 Issued in CO
Practice address
743 Horizon CT
Suite 100
Grand Junction, CO 81506-8701
Phone
(970) 241-7600
Fax
(970) 263-4831
NPI assigned
Mar 20, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31690 CO Primary

Addresses

Primary practice location

743 Horizon CT
Suite 100
Grand Junction, CO 81506-8701

Mailing address

PO Box 1727
Grand JCT, CO 81502-1727
Phone (970) 241-7600

Other identifiers 2

IdentifierTypeStateIssuer
31690OtherCOCOLORADO BOARD ME
1316900MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090605000191 CO Practitioner - Internal Medicine 9436174406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Kansas City Medical College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

607 28
Grand Junction, CO 81506-6018
Phone (970) 243-3300

743 Horizon CT
Suite 100
Grand JCT, CO 81506-8715
Phone (970) 241-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions35
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31690COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC Current Accepting new patients
Community Medical Group, LLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Colorado West Healthcare System CurrentSince Feb 21, 2018 Accepting new patients
Colorado West Healthcare System Family Medicine CurrentSince Feb 21, 2018 Accepting new patients
Community Medical Group, LLC CurrentSince Sep 1, 2021 Accepting new patients
Community Medical Group, LLC Family Medicine Past Accepting new patients
Community Medical Group, LLC Family Medicine Past Accepting new patients
Community Medical Group Family Medicine Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients
Med-X., P.C. Past Accepting new patients

Locations

101 Jurassic Ave
Unit B
Fruita, CO 81521
Phone (970) 858-6677

2021 N 12th St
Grand Junction, CO 81501
Phone (970) 242-0920

2351 G Rd
Grand Junction, CO 81505
Phone (970) 242-0920

2478 Patterson Rd
Ste 27
Grand Junction, CO 81505
Phone (970) 257-1862

743 Horizon Ct
Ste 100
Grand Junction, CO 81506
Phone (970) 241-7600

731 Iowa Ave
Ste A
Palisade, CO 81526
Phone (970) 644-4050

Organizations & group practices 10

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.

Hospital & facility affiliations 11

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437118387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-241-7600",
            "fax_number": "970-263-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 HORIZON CT",
            "address_2": "SUITE 100",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068701",
            "telephone_number": "970-241-7600",
            "fax_number": "970-263-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWARDOWSKI",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "31690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO BOARD ME",
            "identifier": "31690",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316900",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.