Active NPI
Zachary Kaufman, M.D.
- Family Medicine Physician
- Grand Junction, CO
National Provider Identifier
1497168504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR0055859
- Practice address
- 2698 Patterson Rd
Grand Junction, CO 81506-8818 - Phone
- (970) 298-2800
- Fax
- (970) 298-7544
- NPI assigned
- Jun 5, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TL 0005261 | CO | |
| Family Medicine Physician | 207Q00000X | DR0055859 | CO | Primary |
Addresses
Primary practice location
2698 Patterson Rd
Grand Junction, CO 81506-8818
Mailing address
28000 Meadow Dr
Unit 210
Evergreen, CO 80439-2116
Phone (303) 679-8500
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR0055859 | CO | MD | Family Medicine Physician |
| TL 0005261 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Valley Hospital Association | Current | Accepting new patients | |
| Lower Valley Hospital Association | Current | Accepting new patients | |
| Lower Valley Hospital Association | Family Medicine | Current | Accepting new patients |
Locations
401 Kokopelli Blvd
Ste 1
Fruita, CO 81521
Phone (970) 858-2705
300 W Ottley Ave
#W
Fruita, CO 81521
300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Fruita, CO
- NPI 1609190206
Family Medicine
-
- Critical Access Hospital
- Fruita, CO
- NPI 1861496697
-
- Endocrinology, Diabetes & Metabolism Physician
- Fruita, CO
- NPI 1346095098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518480000000",
"number": "1497168504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28000 MEADOW DR",
"address_2": "UNIT 210",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804392116",
"telephone_number": "303-679-8500",
"fax_number": "303-679-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2698 PATTERSON RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068818",
"telephone_number": "970-298-2800",
"fax_number": "970-298-7544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "ZACHARY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-05",
"last_updated": "2018-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "TL 0005261",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR0055859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.