NPIMap

Individual provider Active NPI

Hunter Lee Fuentes, MD

  • Urology Physician
  • Pueblo, CO
National Provider Identifier
1497118681
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0066222 Issued in CO
Practice address
4100 Jerry Murphy Rd
Pueblo, CO 81001-1046
Phone
(719) 545-9713
Fax
(719) 545-6826
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0066222 CO Primary

Addresses

Primary practice location

4100 Jerry Murphy Rd
Pueblo, CO 81001-1046

Mailing address

PO Box 738382
Dallas, TX 75373-8382
Phone (719) 584-4045

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
I20210713000667 CO Practitioner - Urology 8426450545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Texas Tech University Health Science Center School of Medicine, 2016
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
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1020 Lakeview Ave
Pueblo, CO 81004-3508
Phone (719) 557-3660

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

4100 Jerry Murphy Rd
Pueblo, CO 81001-1046
Phone (719) 542-1500

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0066222COMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Sep 7, 2022 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Colorado Springs Urological Associates LLC Urology CurrentSince Jul 1, 2021 Accepting new patients
Poudre Valley Medical Group, LLC Urology CurrentSince Jun 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Sep 7, 2022 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1644 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 634-1994

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

4100 Jerry Murphy Rd
Pueblo, CO 81001
Phone (719) 544-7070

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

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

58 Club Manor Dr
Pueblo, CO 81008
Phone (719) 584-4045

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

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.645

Organizations & group practices 7

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1497118681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 738382",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753738382",
            "telephone_number": "719-584-4045",
            "fax_number": "719-542-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JERRY MURPHY RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011046",
            "telephone_number": "719-545-9713",
            "fax_number": "719-545-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "HUNTER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "0066222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.