NPIMap

Organization Active NPI

Montrose Regional Cancer Care

Doing business as San Juan Cancer Center

  • Hematology & Oncology Physician
  • Montrose, CO
National Provider Identifier
1568638427
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MONTROSE REGIONAL CANCER CARE
Doing business as
San Juan Cancer Center
Practice address
816 S 5TH St
Montrose, CO 81401-5765
Phone
(970) 240-7242
Fax
(970) 240-7793
NPI assigned
May 1, 2008
Last updated
Apr 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTROSE MEMORIAL HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Megan Beaver
Title
Credentialing Coordinator
Phone
(970) 252-2691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

816 S 5TH St
Montrose, CO 81401-5765

Mailing address

2233 E Main St
Montrose, CO 81401-3831
Phone (970) 765-0818

Other identifiers 1

IdentifierTypeStateIssuer
23620340MedicaidCO

Other names 1

  • San Juan Cancer Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040119000579 CO Part B Supplier - Clinic/Group Practice 1658272992 Receives reassigned benefits from 162 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Montrose, CO; Telluride, CO; Motnrose, CO; Gunnison, CO; Delta, CO; Cortez, CO

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2328779San Juan Cancer Center816 S 5TH Street, Montrose, CO 81401RegistrationAug 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Montrose Memorial Hosp23 organizations share this tax ID, including this one
Part of
Montrose Memorial Hosp

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1568638427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 E MAIN ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013831",
            "telephone_number": "970-765-0818",
            "fax_number": "970-497-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 S 5TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015765",
            "telephone_number": "970-240-7242",
            "fax_number": "970-240-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTROSE REGIONAL CANCER CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTROSE MEMORIAL HOSPITAL, INC",
        "enumeration_date": "2008-05-01",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "970-252-2691"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23620340",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.