Active NPI
Justin B Ledesma, MD
- Orthopaedic Surgery Physician
- Golden, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- CDR.0002960
- Practice address
- 660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541 - Phone
- (303) 587-3061
- Fax
- (303) 233-8755
- NPI assigned
- Apr 21, 2011
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD60995376 | WA | |
| Orthopaedic Surgery Physician | 207X00000X | 54240 | AZ | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 54240 | AZ | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | MD60995376 | WA | |
| Orthopaedic Surgery Physician | 207X00000X | CDR.0002960 | CO | Primary |
Addresses
Primary practice location
660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541
Mailing address
660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541
Phone (303) 233-1223
Other practice location 1
5228 W Plano Pkwy
Plano, TX 75093-5005
Phone (972) 250-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267891 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NY
- 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
- Orthopedic Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
640 Hawkins Ave
Ronkonkoma, NY 11779-2324
Phone (631) 730-7970
Hospital & facility affiliations
- St Francis Hospital - the Heart Center
- Mount Sinai South Nassau
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.68 of 100
- Quality
- 96.09
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122076 | CA | MD | Marriage & Family Therapist |
| 54240 | AZ | MD | Orthopaedic Surgery Physician |
| MD60995376 | WA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panorama Orthopedics and Spine Center PC | Orthopaedic Surgery | Current | Accepting new patients |
| Panorama Orthopedics & Spine Center, PC | Orthopaedic Surgery | Current | Accepting new patients |
| New York Spine Medicine and Surgery PLLC | Orthopaedic Surgery of the Spine | Current | Accepting new patients |
| Panorama Orthopedics & Spine Center, PC | Current | Accepting new patients | |
| Panorama Orthopedics & Spine Center, PC | Current | Accepting new patients |
Locations
660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321
285 Sills Rd
Bldg 5-6G
East Patchogue, NY 11772
Phone (631) 654-0335
700 Stewart Ave
Ste 203
Garden City, NY 11530
Phone (631) 730-7970
640 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 737-0100
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 and National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Ronkonkoma, NY
- NPI 1346837226
-
- Orthopaedic Surgery Physician
- Golden, CO
- NPI 1295787950
-
- Physical Therapy Clinic/Center
- Wheat Ridge, CO
- NPI 1003574054
-
- Orthopaedic Surgery Physician
- Westminster, CO
- NPI 1013537588
-
- Physical Therapy Clinic/Center
- Colorado Springs, CO
- NPI 1194390518
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1467743682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 GOLDEN RIDGE RD STE 250",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804019541",
"telephone_number": "303-233-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 GOLDEN RIDGE RD STE 250",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804019541",
"telephone_number": "303-587-3061",
"fax_number": "303-233-8755"
}
],
"practiceLocations": [
{
"address_1": "5228 W Plano Pkwy",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750935005",
"country_code": "US",
"telephone_number": "972-250-5700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEDESMA",
"first_name": "JUSTIN",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-21",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD60995376",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "54240",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "AZ",
"license": "54240",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "WA",
"license": "MD60995376",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "CDR.0002960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267891",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.