Active NPI
Jacob Azurdia, MD
- Diagnostic Radiology Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DR.0064058
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Vermont College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Benewah Community Hospital
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6871879 | ID | MD | Diagnostic Radiology Physician |
| 33229 | NE | MD | Diagnostic Radiology Physician |
| 315396 | NY | MD | Diagnostic Radiology Physician |
| TL6554 | WY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoshone Medical Center | Current | Accepting new patients | |
| Desert Advanced Imaging Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of North Idaho, PA | Diagnostic Radiology | Current | Accepting new patients |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Shoshone Medical Center | Family Medicine | Current | Accepting new patients |
| Fresno Imaging Center | Diagnostic Radiology | Current | Accepting new patients |
| Bonner General Hospital Inc. | Current | Accepting new patients | |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Boundary Community Hospital | Current | Accepting new patients | |
| Arizona Diagnostic Radiology Group, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Yampa Valley Medical Center | Current | Accepting new patients | |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Yampa Valley Medical Center | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Benewah Community Hospital | Family Medicine | Current | Accepting new patients |
| Kern Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Valley Radiology Medical Associates, Inc. | Current | Accepting new patients | |
| Boundary Community Hospital | Current | Accepting new patients | |
| Millennium Medical Imaging PC | Diagnostic Radiology | Current | Accepting new patients |
| Bonner General Hospital, Inc | Current | Accepting new patients | |
| Benewah Community Hospital | Family Medicine | Current | 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
- https://fhir-myrecord.cerner.com/r4/e8b4f872-6ea1-4b26-a974-041b5fb4c57b/
- 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.
-
- Diagnostic Radiology Physician
- Gilbert, AZ
- NPI 1336757699
CO
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1962457812
CO
-
- Critical Access Hospital
- Sandpoint, ID
- NPI 1154563963
-
- Critical Access Hospital
- Bonners Ferry, ID
- NPI 1801896683
-
- Diagnostic Radiology Physician
- Palm Desert, CA
- NPI 1568416147
CO
-
- Psychiatry Physician
- Coeur D Alene, ID
- NPI 1174661151
-
- Radiology Clinic/Center
- Coeur D Alene, ID
- NPI 1851384416
CO, Diagnostic Radiology
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1699709576
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1851601108
-
- General Acute Care Hospital
- Coeur D Alene, ID
- NPI 1992798409
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
Hospital
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1073569331
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1093078560
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.