Individual provider Active NPI

Jacob Azurdia, MD

  • Diagnostic Radiology Physician
  • Denver, CO
National Provider Identifier
1457771909
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0064058 Issued in CO
Practice address
1652 Utica St
Denver, CO 80204-1240
Phone
(260) 450-2305
NPI assigned
Apr 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DR.0064058 CO Primary
Diagnostic Radiology Physician 2085R0202X 32345 OK
Diagnostic Radiology Physician 2085R0202X 315396 NY
Diagnostic Radiology Physician 2085R0202X 33229 NE
Diagnostic Radiology Physician 2085R0202X TL6554 WY
Diagnostic Radiology Physician 2085R0202X 6871879 ID

Addresses

Primary practice location

1652 Utica St
Denver, CO 80204-1240

Mailing address

1652 Utica St
Denver, CO 80204-1240
Phone (260) 450-2305

Other practice location 1

25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Phone (208) 784-1221

Other practice location 2

700 W Ironwood Dr Ste 175
Coeur D Alene, ID 83814-4401
Phone (208) 625-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, ID2 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
I20200619000043 CO Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Interventional Radiology 6406150754 Reassigns benefits to 8 organizations
I20251021003699 ID Practitioner - Diagnostic Radiology 6406150754 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology, Nuclear Medicine
Education
University of Vermont College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Diagnostic Radiology Group LLCGroup PAC ID 1658796859, 62 clinicians
Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians
Radiology Associates of North Idaho PAGroup PAC ID 4385635150, 32 clinicians
Millennium Medical Imaging PCGroup PAC ID 5799776910, 34 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians
Benewah Community HospitalGroup PAC ID 1850200700, shared by 2 NPIs, 39 clinicians
Bonner General Hospital IncGroup PAC ID 4082690466, 47 clinicians
Boundary Community HospitalGroup PAC ID 3274583406, 29 clinicians

Practice addresses (Care Compare)

1652 Utica St
Denver, CO 80204-1240
Phone (585) 218-8006

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000

229 S 7TH St
St Maries, ID 83861-1803

423 N 3Rd Ave
Sandpoint, ID 83864-1511

520 N 3Rd Ave
Sandpoint, ID 83864-1507
Phone (208) 263-0649

6640 Kaniksu St
Bonners Ferry, ID 83805-7532
Phone (208) 267-3141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6871879IDMDDiagnostic Radiology Physician
33229NEMDDiagnostic Radiology Physician
315396NYMDDiagnostic Radiology Physician
TL6554WYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoshone Medical Center CurrentSince Jan 27, 2026 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Oct 18, 2024 Accepting new patients
Radiology Associates of North Idaho, PA Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Kootenai Health, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Shoshone Medical Center Family Medicine CurrentSince Jan 27, 2026 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Bonner General Hospital Inc. CurrentSince Nov 1, 2025 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Boundary Community Hospital CurrentSince Nov 1, 2025 Accepting new patients
Arizona Diagnostic Radiology Group, LLC Diagnostic Radiology CurrentSince Sep 15, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology Current Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Yampa Valley Medical Center CurrentSince Jul 19, 2021 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 15, 2022 Accepting new patients
Yampa Valley Medical Center CurrentSince Jul 19, 2021 Accepting new patients
Kootenai Health, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 15, 2022 Accepting new patients
Benewah Community Hospital Family Medicine Current Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Oct 21, 2024 Accepting new patients
Valley Radiology Medical Associates, Inc. CurrentSince Jul 30, 2025 Accepting new patients
Boundary Community Hospital CurrentSince Nov 1, 2025 Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology CurrentSince Mar 15, 2022 Accepting new patients
Bonner General Hospital, Inc CurrentSince Nov 1, 2025 Accepting new patients
Benewah Community Hospital Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Yampa Valley Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations (25 of 32)

4915 E Baseline Rd
Ste 116
Gilbert, AZ 85234
Phone (480) 354-9200

2301 Bahamas Dr
Bakersfield, CA 93309

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2008 Caribou Dr
Fort Collins, CO 80525

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

1500 Park Central Dr
Ste 203
Highlands Ranch, CO 80129
Phone (720) 516-2100

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

700 W Ironwood Dr
Ste 175
Coeur D Alene, ID 83814
Phone (208) 625-6300

25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221

520 N Third Ave
Sandpoint, ID 83864
Phone (208) 263-0649

423 N Third Ave
Ste 210
Sandpoint, ID 83864
Phone (208) 263-1441

229 S 7th St
St Maries, ID 83861
Phone (208) 245-2591

4950 State Highway 30
Amsterdam, NY 12010
Phone (518) 770-7557

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

6400 Collamer Rd
East Syracuse, NY 13057
Phone (315) 437-1622

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

203 Old Military Rd
Lake Placid, NY 12946
Phone (518) 523-1327

7 Herbert Dr
Latham, NY 12110
Phone (518) 785-3511

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e8b4f872-6ea1-4b26-a974-041b5fb4c57b/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1457771909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 UTICA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041240",
            "telephone_number": "260-450-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 UTICA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041240",
            "telephone_number": "260-450-2305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Jacobs Gulch Rd",
            "address_purpose": "LOCATION",
            "city": "Kellogg",
            "state": "ID",
            "postal_code": "838372023",
            "country_code": "US",
            "telephone_number": "208-784-1221",
            "fax_number": "208-784-0961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Ironwood Dr Ste 175",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838144401",
            "country_code": "US",
            "telephone_number": "208-625-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZURDIA",
        "first_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0064058",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "32345",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "315396",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "33229",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "TL6554",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "6871879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.