Individual provider Active NPI

Randal C. Shelton, DO

  • Family Medicine Physician
  • Montrose, CO
National Provider Identifier
1629357892
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0053162 Issued in CO
Practice address
3330 S Rio Grande Ave Ste 300
Montrose, CO 81401-4850
Phone
(970) 249-7751
Fax
(970) 249-5029
NPI assigned
Aug 5, 2011
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 172631 NC
Family Medicine Physician 207Q00000X DR.0053162 CO Primary

Addresses

Primary practice location

3330 S Rio Grande Ave Ste 300
Montrose, CO 81401-4850

Mailing address

2303 S Townsend Ave Ste a
Montrose, CO 81401-5452
Phone (970) 249-7751

Other practice location 1

836 S. Townsend Unit A
Mountain Peaks Family Practice
Montrose, CO 81401
Phone (970) 615-9120

Other identifiers 5

IdentifierTypeStateIssuer
349127YS6EOtherCOMEDICARE B PTAN FOR LBN: OLATHE COMMUNITY CLINIC
P01721833OtherRAILROAD WORKERS MEDICARE FOR MTN PEAKS FAMILY PRACTICE
349127YTYKOtherCOMEDICARE PTAN SAN JUAN FAMILY MEDICINE
349127ZV3YOtherCOMEDICARE B PTAN FOR MTN PEAKS FAMILY PRACTICE
91737818MedicaidCO

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
I20140618000629 CO Practitioner - Family Practice 3971727769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedar Point Health LLCGroup PAC ID 0143119586, 45 clinicians

Practice addresses (Care Compare)

3330 S Rio Grande Ave
Montrose, CO 81401-4273
Phone (970) 249-7751

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172631NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Point Health LLC Family Medicine CurrentSince Oct 1, 2017 Accepting new patients

Locations

255 S Grand Mesa Dr
Cedaredge, CO 81413
Phone (970) 856-4111

255 S Grand Mesa Dr
Ofc
Cedaredge, CO 81413
Phone (970) 856-4111

456 Kokopelli Blvd
Unit B
Fruita, CO 81521
Phone (970) 639-2627

2454 Highway 6 and 50
Ste 104
Grand Junction, CO 81505
Phone (970) 644-9900

569 32 Rd
Ste 12
Grand Junction, CO 81504
Phone (970) 523-3544

2303 S Townsend Ave
Ste A
Montrose, CO 81401
Phone (970) 240-6136

300 S Nevada Ave
Montrose, CO 81401
Phone (970) 252-1020

3330 S Rio Grande Ave
Montrose, CO 81401
Phone (970) 240-7314

3330 S Rio Grande Ave
Ste 300
Montrose, CO 81401
Phone (970) 241-0170

836 S Townsend Ave
Ste A
Montrose, CO 81401
Phone (970) 240-4606

836 S Townsend Ave
Ste C
Montrose, CO 81401
Phone (970) 249-2118

Interoperability endpoints

  • Direct secure messaging: rshelton@montrosemedicine.gwaydirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1629357892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S TOWNSEND AVE STE A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015452",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 S RIO GRANDE AVE STE 300",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014850",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 S. Townsend Unit A",
            "address_2": "Mountain Peaks Family Practice",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "81401",
            "country_code": "US",
            "telephone_number": "970-615-9120",
            "fax_number": "970-240-1139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "RANDAL",
        "middle_name": "C.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "172631",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0053162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B PTAN FOR LBN: OLATHE COMMUNITY CLINIC",
            "identifier": "349127YS6E",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD WORKERS MEDICARE FOR MTN PEAKS FAMILY PRACTICE",
            "identifier": "P01721833",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN SAN JUAN FAMILY MEDICINE",
            "identifier": "349127YTYK",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B PTAN FOR MTN PEAKS FAMILY PRACTICE",
            "identifier": "349127ZV3Y",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91737818",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.