Individual provider Active NPI

Paul V Connaughton, MD

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
National Provider Identifier
1639154123
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0039298 Issued in CO
Practice address
1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone
(719) 365-5853
Fax
(719) 365-1048
NPI assigned
Dec 7, 2005
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DR.0039298 CO Primary
Vascular & Interventional Radiology Physician 2085R0204X DR.0039298 CO

Addresses

Primary practice location

1400 E Boulder St
Colorado Springs, CO 80909-5533

Mailing address

PO Box 63300
Colorado Springs, CO 80962-3300
Phone (719) 578-1162

Other identifiers 1

IdentifierTypeStateIssuer
59822783MedicaidCO

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
I20060214000196 CO Practitioner - Diagnostic RadiologyPractitioner - Radiation Oncology 9133134091 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Imaging Consultants PCGroup PAC ID 1850298647, 45 clinicians
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians

Practice addresses (Care Compare)

106 Blanca Ave
Alamosa, CO 81101-2340
Phone (719) 589-2511

1400 E Boulder St
Memorial Hospital Central
Colorado Springs, CO 80909-5599
Phone (719) 365-5120

5818 N Nevada Ave
Suite 100
Colorado Springs, CO 80918-3505
Phone (719) 365-7480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.92 of 100Reported as group
Quality
100
Improvement activities
40
Cost
43.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0039298COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Dec 14, 2020 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Aug 1, 2025 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology Current Accepting new patients
Pikes Peak Nephrology Associates PC CurrentSince Jul 1, 2016 Accepting new patients
Pikes Peak Nephrology Associates PC CurrentSince Jul 1, 2016 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Dec 14, 2020 Accepting new patients
Uch-MHS CurrentSince Oct 1, 2012 Accepting new patients
Radiology & Imaging Consultants PC Diagnostic Radiology CurrentSince Mar 1, 2001 Accepting new patients
Uch-MHS Past Accepting new patients

Locations

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

875 W 136th Ave
Broomfield, CO 80023
Phone (303) 457-7700

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

1370 Interquest Pkwy
Ste 100
Colorado Springs, CO 80921

1370 Interquest Pkwy
Ste 110
Colorado Springs, CO 80921
Phone (719) 364-6600

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

1914 Lelaray St
Colorado Springs, CO 80909
Phone (719) 955-2651

2002 Lelaray St
Ste 100
Colorado Springs, CO 80909
Phone (719) 799-6401

2770 N Powers Blvd
Colorado Springs, CO 80922
Phone (719) 638-3000

3843 Rio Vista Dr
Ste 1100
Colorado Springs, CO 80917
Phone (719) 364-4903

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

19021 US Highway 285
La Jara, CO 81140
Phone (719) 274-5121

Organizations & group practices 9

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1639154123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809623300",
            "telephone_number": "719-578-1162",
            "fax_number": "719-578-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-5853",
            "fax_number": "719-365-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNAUGHTON",
        "first_name": "PAUL",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0039298",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "DR.0039298",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59822783",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.