Individual provider Active NPI

Carmen Julian, D.O.

  • Dermatology Physician
  • Durango, CO
National Provider Identifier
1447249636
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0068954 Issued in CO
Practice address
523 S Camino del Rio, Ste B
Durango, CO 81303
Phone
(970) 247-1970
Fax
(970) 259-1668
NPI assigned
Oct 19, 2005
Last updated
May 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 73012 GA
Dermatology Physician 207N00000X M4224 TX
Dermatology Physician 207N00000X DR.0068954 CO Primary
Emergency Medicine Physician 207P00000X M4224 TX
Emergency Medicine Physician 207P00000X 34008228J OH

Addresses

Primary practice location

523 S Camino del Rio, Ste B
Durango, CO 81303

Mailing address

523 S Camino del Rio, Ste B
Durango, CO 81303
Phone (214) 420-0650

Other identifiers 1

IdentifierTypeStateIssuer
9000210814MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cjulian@directaddress.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, 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
I20061006000430 TX Practitioner - DermatologyPractitioner - Emergency Medicine 5597796565 Reassigns benefits to 1 organization
I20221130000331 CO Practitioner - Dermatology 5597796565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio University, College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Durango Dermatology and Dermatologic Surgery LLCGroup PAC ID 1153375902, 9 clinicians

Practice addresses (Care Compare)

523 S Camino del Rio
Suite B
Durango, CO 81303-6853
Phone (970) 247-1970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision193
Removal of skin lesions1629
Removal of skin cancer437
Removal or shaving of skin growth28
Skin biopsy526

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0068954COMDDermatology Physician
73012GAMDDermatology Physician
34008228JOHMDEmergency Medicine Physician
M4224TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Dec 1, 2020 Accepting new patients
Durango Dermatology and Dermatologic Surgery LLC Dermatology CurrentSince Jan 9, 2023 Accepting new patients
Riverwood Emergency Services Inc. Emergency Medicine Past Accepting new patients
Durango Dermatology and Dermatologic Surgery LLC Dermatology PastSince Jan 9, 2023 Accepting new patients
Roopal Bhatt MD, PA Dermatology PastSince Nov 1, 2020 Accepting new patients

Locations

523 S Camino del Rio
Ste B
Durango, CO 81303
Phone (970) 247-1970

1801 E 51st St
Ste 320
Austin, TX 78723
Phone (512) 478-3376

6618 Sitio del Rio Blvd
#D1
Austin, TX 78730
Phone (512) 478-3376

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Interoperability endpoints

  • Direct secure messaging: cjulian@conger.emadirect.md
  • Direct secure messaging: cjulian@directaddress.net
  • Direct secure messaging: cjulian@durango.emadirect.md

Organizations & group practices 5

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 4

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1447249636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 S CAMINO DEL RIO, STE B",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81303",
            "telephone_number": "214-420-0650",
            "fax_number": "214-736-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 S CAMINO DEL RIO, STE B",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81303",
            "telephone_number": "970-247-1970",
            "fax_number": "970-259-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "73012",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M4224",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0068954",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M4224",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34008228J",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000210814",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjulian@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2500 Hospital Blvd Ste 280",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300764918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.