Individual provider Active NPI

Krystal Marie Tamura, M.D.

  • Family Medicine Physician
  • Westminster, CO
National Provider Identifier
1477849503
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51645 Issued in CO
Practice address
8510 Bryant St Ste 200
Westminster, CO 80031-3845
Phone
(303) 430-5560
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4057 CO
Family Medicine Physician 207Q00000X 51645 CO Primary

Addresses

Primary practice location

8510 Bryant St Ste 200
Westminster, CO 80031-3845

Mailing address

8865 Federal Blvd Unit 202
Westminster, CO 80260-7451
Phone (720) 352-4874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20140908001998 CO Practitioner - Family Practice 1658590575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-0207

14300 Orchard Pkwy Floor 2 Pod
1 Ornh Pain Specialists
Westminster, CO 80023-9206
Phone (303) 661-4100

2551 W 84TH Ave
Westminster, CO 80031-3807

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

Hospital & facility affiliations

  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4057COMDClinical Psychologist
51645COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Aug 1, 2014 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Aug 1, 2014 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Iniatives Colorado Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

2551 W 84th Ave
Ste 2
Westminster, CO 80031

8510 Bryant St
Ste 200
Westminster, CO 80031
Phone (303) 449-6050

7280 Irving St
Ste 302C
Westminster, CO 80030
Phone (303) 429-1508

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

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.

Hospital & facility affiliations 6

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1477849503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 FEDERAL BLVD UNIT 202",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802607451",
            "telephone_number": "720-352-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 BRYANT ST STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313845",
            "telephone_number": "303-430-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMURA",
        "first_name": "KRYSTAL",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "4057",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "51645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.