NPIMap

Individual provider Active NPI

Conor J Heaney, M.D.

  • Diagnostic Radiology Physician
  • Pueblo, CO
National Provider Identifier
1487629341
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
44619 Issued in CO
Practice address
1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone
(719) 557-4000
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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 15

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

View all 15

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pueblo Radiological Group PC 7 clinicians

Practice addresses (Care Compare)

1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone (719) 560-5592

Hospital & facility affiliations

  • St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012
  • St Thomas More Hospital Hospital, Canon City, CO, CCN 061344
  • Spanish Peaks Regional Health Center Hospital, Walsenburg, CO, CCN 061316
  • Parkview Medical Center, Inc Hospital, Pueblo, CO, CCN 060020
  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061016000578 CO Practitioner - Diagnostic Radiology 3678464500 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44619COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Radiological Group PC Diagnostic Radiology CurrentSince Jul 14, 2006 Accepting new patients
Mayo Clinic Past Accepting new patients
Bailey'S Health Care, Inc. Past Accepting new patients
Pueblo Radiological Group, P.C. Diagnostic Radiology PastSince Nov 8, 2020 Accepting new patients

Locations

3245 E US Highway 50
Unit E
Canon City, CO 81212
Phone (719) 285-2700

933 Sell Ave
Canon City, CO 81212
Phone (719) 275-6433

4112 Outlook Blvd
Ste 255
Pueblo, CO 81008
Phone (719) 253-7640

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

4112 Outlook Blvd
Ste 37
Pueblo, CO 81008
Phone (719) 562-6254

1020 Lakeview Ave
Pueblo, CO 81004
Phone (719) 557-3145

124 W Pitkin Ave
Pueblo, CO 81004
Phone (719) 542-7891

4112 Outlook Blvd
Ste 96
Pueblo, CO 81008
Phone (719) 562-6200

2035 S Pueblo Blvd
Pueblo, CO 81005
Phone (719) 299-4819

729 E Spaulding Ave
Pueblo West, CO 81007
Phone (719) 285-2735

23500 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-5100

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 44619 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

1008 Minnequa Ave
Pueblo, CO 81004-3733

Mailing address

PO Box 7693
Loveland, CO 80537-0693
Phone (970) 663-2742

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
251911900MedicaidMN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2020.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1487629341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7693",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370693",
            "telephone_number": "970-663-2742",
            "fax_number": "970-342-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MINNEQUA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043733",
            "telephone_number": "719-557-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEANEY",
        "first_name": "CONOR",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "44619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251911900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.