Individual provider Active NPI

Joshua Alan Emdur, DO

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1649218389
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0046419 Issued in CO
Practice address
30 Maryland PLZ FL 3
Saint Louis, MO 63108-1556
Phone
(800) 449-4280
NPI assigned
Jun 3, 2006
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0046419 CO Primary

Addresses

Primary practice location

30 Maryland PLZ FL 3
Saint Louis, MO 63108-1556

Mailing address

30 Maryland PLZ FL 3
Saint Louis, MO 63108-1556

Other practice location 1

4747 Arapahoe Ave
Boulder, CO 80303-1133
Phone (303) 415-7610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO, PA, MD, MN, IN, NC, LA, NJ9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20060718000349 CA Practitioner - Family Practice 4183637077 Reassigns benefits to 1 organization
I20090122000657 CO Practitioner - Family Practice 4183637077 Reassigns benefits to 4 organizations
I20230821000574 PA Practitioner - Family Practice 4183637077 Reassigns benefits to 1 organization
I20230821000742 MD Practitioner - Family Practice 4183637077 Reassigns benefits to 1 organization
I20231122002451 MN Practitioner - Family Practice 4183637077 Reassigns benefits to 1 organization
I20240723002403 IN Practitioner - Family Practice 4183637077 Reassigns benefits to 1 organization
I20240808004007 NC Practitioner - Family Practice 4183637077 Reassigns benefits to 1 organization
I20250327001340 LA Practitioner - Family Practice 4183637077 Reassigns benefits to 1 organization
I20250917001957 NJ Practitioner - Family Practice 4183637077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Fort Collins PCP LLCGroup PAC ID 2567960396, 47 clinicians
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

205 S Main St
Suite B
Longmont, CO 80501-1714
Phone (303) 772-6244

4015 Gateway Blvd
Suite 2120
Newburgh, IN 47630-9460
Phone (812) 842-2737

4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 415-7610

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jan 20, 2025 Accepting new patients
Centracare Clinic Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 20, 2025 Accepting new patients
Svmhs Clinics CurrentSince Apr 27, 2025 Accepting new patients
VMD Primary Providers Colorado, Inc Family Medicine CurrentSince Apr 15, 2025 Accepting new patients
Allina Health System CurrentSince Dec 12, 2023 Accepting new patients
Deaconess Specialty Physicians, Inc Current Accepting new patients
Deaconess Specialty Physicians Inc Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Evolution Wound Management of NJ PC CurrentSince Jul 14, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jul 22, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Allina Health System Family Medicine Current Accepting new patients
Wellspan Medical Group Family Medicine CurrentSince Jun 24, 2023 Accepting new patients
Ucm Medical Group Sub, LLC Family Medicine CurrentSince Oct 26, 2024 Accepting new patients
Svmhs Clinics CurrentSince Apr 27, 2025 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Carolinas Physicians Network, Inc Family Medicine CurrentSince Jul 22, 2024 Accepting new patients
Boulder Community Health CurrentSince Jan 1, 2011 Accepting new patients
Boulder Community Health CurrentSince Jan 1, 2011 Accepting new patients
Evolution Wound Management of PA PC CurrentSince Oct 1, 2025 Accepting new patients
Boulder Community Health Current Accepting new patients
Deaconess Specialty Physicians Inc Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Banner Fort Collins PCP LLC CurrentSince Aug 1, 2025 Accepting new patients
Central Washington Health Services Association CurrentSince Aug 1, 2024 Accepting new patients
Wellspan Medical Group Family Medicine Current Accepting new patients
Allina Health System CurrentSince Dec 12, 2023 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients
Cloud Health Medical Group of California, P.C. Family Medicine Past Accepting new patients
Boulder Community Health Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

355 Abbott St
Ste 100
Salinas, CA 93901
Phone (831) 751-7070

1155 Alpine Ave
Ste 150
Boulder, CO 80304
Phone (303) 245-7056

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000

5450 Western Ave
Boulder, CO 80301
Phone (303) 415-4770

2025 Bighorn Rd
Fort Collins, CO 80525
Phone (970) 229-9800

3519 Richmond Dr
Fort Collins, CO 80526
Phone (970) 204-0300

205 S Main St
Ste B
Longmont, CO 80501
Phone (303) 772-6244

1625 Foxtrail Dr
Ste 190
Loveland, CO 80538
Phone (970) 500-2244

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4015 Gateway Blvd
Ste 2120
Newburgh, IN 47630
Phone (812) 492-5457

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

52 Water St
Thurmont, MD 21788
Phone (301) 271-3535

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

502 W 7th St
Ste 100
Erie, PA 16502
Phone (215) 258-4243

1401 Roosevelt Ave
York, PA 17404
Phone (717) 356-6250

Interoperability endpoints

  • Direct secure messaging: josh.emdur.1@19957.direct.athenahealth.com
  • Direct secure messaging: joshua.emdur.1@23501.direct.athenahealth.com
  • Direct secure messaging: joshua.emdur.1@30093.direct.athenahealth.com

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1649218389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MARYLAND PLZ FL 3",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MARYLAND PLZ FL 3",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081556",
            "telephone_number": "800-449-4280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4747 Arapahoe Ave",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803031133",
            "country_code": "US",
            "telephone_number": "303-415-7610",
            "fax_number": "303-415-7618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMDUR",
        "first_name": "JOSHUA",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0046419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.