Individual provider Active NPI

Todd Michael James, D.O.

  • Cardiovascular Disease Physician
  • Grand JCT, CO
National Provider Identifier
1467764498
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
DR.0065812 Issued in CO
Practice address
2373 G Rd Ste 280
Grand JCT, CO 81505-1006
Phone
(970) 644-4030
Fax
(970) 644-3914
NPI assigned
Jul 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 7205 AZ
Cardiovascular Disease Physician 207RC0000X DR.0065812 CO Primary

Addresses

Primary practice location

2373 G Rd Ste 280
Grand JCT, CO 81505-1006

Mailing address

PO Box 1727
Grand JCT, CO 81502-1727
Phone (970) 644-4030

Other practice location 1

13460 N 94th Dr Ste J1
Peoria, AZ 85381-4246
Phone (623) 876-8816

Other identifiers 2

IdentifierTypeStateIssuer
279139MedicaidAZ
Z204014OtherAZMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240307000989 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3476700105 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians
McLaren Northern MichiganGroup PAC ID 9931018181, 60 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

1221 S Dr
Mount Pleasant, MI 48858-3257
Phone (989) 772-6811

416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000

560 W Mitchell St
Petoskey, MI 49770-2274
Phone (231) 330-3585

560 W Mitchell St
Petoskey, MI 49770-2275
Phone (231) 487-7200

560 W Mitchell St
Suite 300
Petoskey, MI 49770-2278
Phone (231) 487-2460

944 N Ctr Ave
Gaylord, MI 49735-9318
Phone (989) 731-5781

Hospital & facility affiliations

  • McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105
  • McLaren Central Michigan Hospital, Mount Pleasant, MI, CCN 230080
  • Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133
  • Chippewa County War Memorial Hospital Hospital, Sault Ste Marie, MI, CCN 230239
  • Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting35
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7205AZMDPharmacist
2329NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Northern Michigan Single Specialty CurrentSince Mar 4, 2024 Accepting new patients
McLaren Central Michigan Single Specialty CurrentSince Mar 4, 2024 Accepting new patients
McLaren Northern Michigan CurrentSince Mar 4, 2024 Accepting new patients
McLaren Central Michigan Single Specialty Current Accepting new patients
McLaren Medical Group Single Specialty CurrentSince Mar 4, 2024 Accepting new patients
McLaren Central Michigan CurrentSince Mar 4, 2024 Accepting new patients
McLaren Medical Group Single Specialty CurrentSince Mar 4, 2024 Accepting new patients
Community Medical Group, LLC Single Specialty Past Accepting new patients

Locations

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

944 N Center Ave
Gaylord, MI 49735
Phone (989) 731-5781

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

560 W Mitchell St
Ste 402
Petoskey, MI 49770
Phone (231) 487-4760

560 W Mitchell St
Ste 300
Petoskey, MI 49770
Phone (231) 487-2460

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

560 W Mitchell St
Ste 400
Petoskey, MI 49770
Phone (231) 330-3585

573 N Bradley Hwy
Rogers City, MI 49779
Phone (989) 734-2171

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1467764498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-644-4030",
            "fax_number": "970-644-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD STE 280",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815051006",
            "telephone_number": "970-644-4030",
            "fax_number": "970-644-3914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13460 N 94th Dr Ste J1",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814246",
            "country_code": "US",
            "telephone_number": "623-876-8816",
            "fax_number": "623-298-0168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "TODD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-07",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "7205",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "DR.0065812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279139",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z204014",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand JCT, CO

Sources for this page

Verify at the official NPI Registry.