Active NPI
Joseph Michael Mack, M.D.
- Diagnostic Radiology Physician
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 58275
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CO
- 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
- Albany Medical College of Union University, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Poudre Valley Hospital
- Longs Peak Hospital
- Uchealth Greeley Hospital
- Ivinson Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDR.0004506 | CO | MD | Diagnostic Radiology Physician |
| 58275 | GA | MD | Diagnostic Radiology Physician |
| CP1090 | NE | MD | Diagnostic Radiology Physician |
| 17609C | WY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| American Health Imaging of Georgia, LLC | Current | Accepting new patients | |
| American Health Imaging of Georgia LLC | Current | Accepting new patients | |
| American Health Imaging of Georgia LLC | Current | Accepting new patients | |
| American Health Imaging of Georgia LLC | Current | Accepting new patients | |
| Fort Collins Radiologic Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| American Health Imaging of Georgia, LLC | Current | Accepting new patients | |
| American Health Imaging of Georgia LLC | Current | Accepting new patients | |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Fort Collins, CO
- NPI 1003849498
GA
-
- Diagnostic Radiology Physician
- Broomfield, CO
- NPI 1396210902
-
- Diagnostic Radiology Physician
- Gainesville, GA
- NPI 1922037605
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
-
- Diagnostic Radiology Physician
- Highlands Ranch, CO
- NPI 1043162142
-
- Radiology Clinic/Center
- Colorado Springs, CO
- NPI 1922784503
Diagnostic Radiology
-
- Radiology Clinic/Center
- Brunswick, GA
- NPI 1548785330
-
- Radiology Clinic/Center
- Fayetteville, GA
- NPI 1659304772
-
- Radiology Clinic/Center
- Canton, GA
- NPI 1780937508
-
- Radiology Clinic/Center
- Augusta, GA
- NPI 1790113082
-
- Radiology Clinic/Center
- Cumming, GA
- NPI 1346606506
-
- Radiology Clinic/Center
- Albany, GA
- NPI 1366102998
Hospital & facility affiliations 21
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longmont, CO
- NPI 1154876985
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1104262286
-
- General Acute Care Hospital
- Loveland, CO
- NPI 1750392304
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1780243055
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1679419808
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1962158857
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1073172094
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1093374001
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1093374092
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1114586278
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1184283103
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.