Individual provider Active NPI

Justin David Mark Riffel, MD

  • Ophthalmology Physician
  • Grand Junction, CO
National Provider Identifier
1619627809
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DR0077089 Issued in CO
Practice address
1000 Wellington Ave Ste a
Grand Junction, CO 81501-8180
Phone
(970) 256-0400
Fax
(970) 256-9149
NPI assigned
Mar 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DR0077089 CO Primary

Addresses

Primary practice location

1000 Wellington Ave Ste a
Grand Junction, CO 81501-8180

Mailing address

PO Box 200426
Dallas, TX 75320-0426
Phone (970) 256-0400

Other practice location 1

2515 Foresight Cir Unit 220
Grand Junction, CO 81505-1156
Phone (970) 256-0400

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
I20260528001794 CO Practitioner - Ophthalmology 2668852997

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 W County Line Rd
Suite 230
Highlands Ranch, CO 80129-1903

PO Box
Dallas, TX 75320

Hospital & facility affiliations

National Provider Directory

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1619627809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200426",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753200426",
            "telephone_number": "970-256-0400",
            "fax_number": "970-256-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WELLINGTON AVE STE A",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018180",
            "telephone_number": "970-256-0400",
            "fax_number": "970-256-9149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 Foresight Cir Unit 220",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815051156",
            "country_code": "US",
            "telephone_number": "970-256-0400",
            "fax_number": "970-256-9149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIFFEL",
        "first_name": "JUSTIN",
        "middle_name": "DAVID MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR0077089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.