Active NPI
Brian W Chong, M.D.
- Diagnostic Radiology Physician
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DR.0071780
- Practice address
- 11750 W 2ND PL Ste 255
Lakewood, CO 80228-1726 - Phone
- (720) 321-8040
- Fax
- (720) 321-8041
- NPI assigned
- Nov 30, 2005
- Last updated
- Oct 31, 2023
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 33277 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | 50685 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | MD00039655 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | DR.0071780 | CO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 63044 | MN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | DR.0071780 | CO | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 33277 | AZ |
Addresses
Primary practice location
11750 W 2ND PL Ste 255
Lakewood, CO 80228-1726
Mailing address
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone (480) 301-8000
Other practice location 1
5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 301-8000
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11750 W 2ND PL
255 Nssa Neurosurg Sah
Lakewood, CO 80228-1726
Phone (720) 638-7500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50685 | CA | MD | Pharmacist |
| DR.0071780 | CO | MD | Diagnostic Radiology Physician |
| 63044 | MN | MD | Diagnostic Radiology Physician |
| MD00039655 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Samaritan Inland MRI LLC | Diagnostic Radiology | Past | Accepting new patients |
| University Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
| Northwest Cardiac and Vascular Imaging, LLC | Past | Accepting new patients | |
| Inland Imaging Associates PS | Diagnostic Radiology | Past | Accepting new patients |
| Inland Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
11750 W 2nd Pl
Ste 255
Lakewood, CO 80228
Phone (303) 629-5600
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ctsa Cardiac Thor Surg
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
dba SNHC Family Med & Res
- Family Medicine Physician
- Westminster, CO
- NPI 1114538733
-
dba CommonSpirit Orthopedics Longmont
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- Surgical Physician Assistant
- Spokane, WA
- NPI 1770544512
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Spokane, WA
- NPI 1851352348
-
- Medical Specialty Clinic/Center
- Spokane, WA
- NPI 1730121047
-
- Diagnostic Radiology Physician
- Moses Lake, WA
- NPI 1376504803
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1639124498
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1104466630
-
dba St. Anthony Hospital
- General Acute Care Hospital
- Lakewood, CO
- NPI 1164430567
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1740820273
-
dba Flight for Life Colorado
- Air Ambulance
- Lakewood, CO
- NPI 1992425854
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1508840018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5777 E MAYO BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850544502",
"telephone_number": "480-301-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11750 W 2ND PL STE 255",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281726",
"telephone_number": "720-321-8040",
"fax_number": "720-321-8041"
}
],
"practiceLocations": [
{
"address_1": "5777 E Mayo Blvd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "85054",
"country_code": "US",
"telephone_number": "480-301-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHONG",
"first_name": "BRIAN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "33277",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "50685",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00039655",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "DR.0071780",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "63044",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CO",
"license": "DR.0071780",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "AZ",
"license": "33277",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.