Individual provider Active NPI

Zachary Kaufman, M.D.

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1497168504
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR0055859 Issued in CO
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

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180329000353 CO Practitioner - Family Practice 8628377934 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0055859COMDFamily Medicine Physician
TL 0005261COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Valley Hospital Association CurrentSince Sep 8, 2025 Accepting new patients
Lower Valley Hospital Association CurrentSince Sep 8, 2025 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.

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

Verify at the official NPI Registry.