Individual provider Active NPI

Joseph Michael Mack, M.D.

  • Diagnostic Radiology Physician
  • Fort Collins, CO
National Provider Identifier
1467439745
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
58275 Issued in GA
Practice address
1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone
(970) 484-4757
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X CP1090 NE
Diagnostic Radiology Physician 2085R0202X 17609C WY
Diagnostic Radiology Physician 2085R0202X CDR.0004506 CO
Diagnostic Radiology Physician 2085R0202X 58275 GA Primary

Addresses

Primary practice location

1024 S Lemay Ave
Fort Collins, CO 80524-3929

Mailing address

2008 Caribou Dr
Fort Collins, CO 80525-4325
Phone (970) 484-4757

Other names 1

  • Joe Michael Mack Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, 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
I20070724000288 GA Practitioner - Diagnostic Radiology 8426159229 Reassigns benefits to 3 organizations
I20250123003571 CO Practitioner - Diagnostic Radiology 8426159229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albany Medical College of Union University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians
Gainesville Radiology Group PCGroup PAC ID 9335046382, 65 clinicians
Fort Collins Radiologic Associates PCGroup PAC ID 7315844396, 63 clinicians
Northeast Georgia Physicians Group IncGroup PAC ID 6901898386, 884 clinicians

Practice addresses (Care Compare)

100 Cook St
Suite 100
Denver, CO 80206-5327
Phone (720) 516-9420

316 N Broad St
Winder, GA 30680-2150
Phone (770) 282-8820

3339 Floral Valley CT
Dacula, GA 30019-7272
Phone (970) 484-4757

3425 Buford Dr
Suite 100
Buford, GA 30519-8785
Phone (770) 282-8820

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 535-3553

Hospital & facility affiliations

  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
  • Longs Peak Hospital Hospital, Longmont, CO, CCN 060128
  • Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131
  • Ivinson Memorial Hospital Hospital, Laramie, WY, CCN 530025

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDR.0004506COMDDiagnostic Radiology Physician
58275GAMDDiagnostic Radiology Physician
CP1090NEMDDiagnostic Radiology Physician
17609CWYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Imaging Services, LLC Diagnostic Radiology Current Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Jul 15, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jul 15, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jul 15, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jul 15, 2026 Accepting new patients
Fort Collins Radiologic Associates PC Diagnostic Radiology CurrentSince Jan 15, 2025 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Jul 15, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jul 15, 2026 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients

Locations

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

11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000

100 Cook St
Ste 100
Denver, CO 80206
Phone (720) 516-9420

100 Cook St
Ste 410
Denver, CO 80206
Phone (720) 516-9420

100 Cook St
Ste 212
Denver, CO 80206
Phone (720) 516-9200

5589 Argonne St
Denver, CO 80249
Phone (303) 371-0330

100 Cook St
Ste 404
Denver, CO 80206
Phone (720) 516-9200

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

2008 Caribou Dr
Fort Collins, CO 80525

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

1760 E Ken Pratt Blvd
Ste 101
Longmont, CO 80504
Phone (720) 718-5100

1750 E Ken Pratt Blvd
Longmont, CO 80504
Phone (720) 718-7000

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

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

1000 W 8th Ave
Yuma, CO 80759
Phone (970) 345-6336

1313 S St
Bridgeport, NE 69336
Phone (308) 262-1616

255 W 4th St
Kimball, NE 69145
Phone (308) 235-1951

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

Organizations & group practices 13

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 13

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1467439745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 CARIBOU DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254325",
            "telephone_number": "970-484-4757",
            "fax_number": "970-484-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 S LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243929",
            "telephone_number": "970-484-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "CP1090",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "17609C",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "CDR.0004506",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "58275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "MACK",
            "middle_name": "MICHAEL",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.