Elliot Dickerson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

59963 Issued in CO

Practice address

10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895

Phone

(303) 761-9190

Fax

(720) 874-4462

NPI assigned

Apr 11, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 13

Medicare fee-for-service enrollment

Enrolled in KS, CO, HI3 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 3

Specialty

Diagnostic Radiology

Education

Temple University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Imaging of Colorado Radiology Imaging Assc PC Etal PTGroup PAC ID 5395644702, 122 clinicians

Hawaii Radiologic Associates LTDGroup PAC ID 0941190953, 91 clinicians

Radiology Imaging Associates PCGroup PAC ID 2860391257, 147 clinicians

National Jewish HealthGroup PAC ID 4587577028, 244 clinicians

Banner Imaging Services Colorado LLCGroup PAC ID 7416377270, 90 clinicians

Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
• AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
• AdventHealth Parker Hospital, Parker, CO, CCN 060114
• Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125
• Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009

Merit-based Incentive Payment System (MIPS)

Final score

84.14 of 100Reported as group

Quality

83.98

Improvement activities

40

Cost

76.51

Merit-based Incentive Payment System (MIPS)

Final score

81.78 of 100Reported as group

Quality

69.37

Promoting interoperability

100

Improvement activities

40

Cost

65.17

Merit-based Incentive Payment System (MIPS)

Final score

70.7 of 100Reported as group

Quality

65.53

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

67.5 of 100Reported as group

Quality

58.12

Improvement activities

40

Cost

68.45

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 31)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Banner Imaging Services Colorado LLC

  • Diagnostic Radiology Physician
  • Loveland, CO
  • NPI 1326674979
  Medicare reassignment Care Compare group NPD
• Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT

  • Diagnostic Radiology Physician
  • Englewood, CO
  • NPI 1336188234
  Medicare reassignment Care Compare group NPD
• National Jewish Health

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1326015777
  Medicare reassignment Care Compare group NPD
• Uchealth Imaging Services, LLC

  • Diagnostic Radiology Physician
  • Broomfield, CO
  • NPI 1396210902
  Medicare reassignment Care Compare group NPD
• Hawaii Radiologic Associates, LTD.

  • Diagnostic Radiology Physician
  • Hilo, HI
  • NPI 1174679443

  CO

  Medicare reassignment Care Compare group NPD
• Radiology Imaging Associates, PC

  • Diagnostic Radiology Physician
  • Englewood, CO
  • NPI 1679513196

  HI, KS

  Medicare reassignment Care Compare group
• Gunnison Valley Hospital

  • Critical Access Hospital
  • Gunnison, CO
  • NPI 1932109048

  Diagnostic Radiology

  Medicare reassignment NPD
• Orthopedic Centers of Colorado, LLC

  • Orthopaedic Surgery Physician
  • Denver, CO
  • NPI 1801339502
  Medicare reassignment NPD
• Ria Endovascular, LLC

  • Diagnostic Radiology Physician
  • Greenwood Village, CO
  • NPI 1558301077
  Medicare reassignment NPD
• Radiology Imaging of Nebraska, LLC

  • Diagnostic Radiology Physician
  • Scottsbluff, NE
  • NPI 1184869901

  CO

  Medicare reassignment
• Gunnison Valley Hospital

  • Urgent Care Clinic/Center
  • Gunnison, CO
  • NPI 1477361228

  Diagnostic Radiology

  NPD
• Orthopedic Centers of Colorado, LLC

  • Orthopaedic Surgery Physician
  • Superior, CO
  • NPI 1336870856
  NPD

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

• HCA Healthone LLC

  • General Acute Care Hospital
  • Englewood, CO
  • NPI 1396790200
  Care Compare affiliation
• Intermountain Front Range, Inc

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1811739923
  Care Compare affiliation
• Intermountain Front Range, Inc.

  • General Acute Care Hospital
  • Golden, CO
  • NPI 1235803917
  Care Compare affiliation
• Intermountain Front Range, Inc.

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1619706249
  Care Compare affiliation
• Intermountain Front Range, Inc.

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1669461281
  Care Compare affiliation
• Intermountain Front Range, Inc.

  • General Acute Care Hospital
  • Golden, CO
  • NPI 1891576716
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Aurora, CO
  • NPI 1083461438
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Aurora, CO
  • NPI 1265072706
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Parker, CO
  • NPI 1386651297
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Parker, CO
  • NPI 1457148140
  Care Compare affiliation
• Portercare Adventist Health System

  • Emergency Care Clinic/Center
  • Littleton, CO
  • NPI 1548800154

  Hospital

  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Littleton, CO
  • NPI 1689688988
  Care Compare affiliation

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1649560731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 E GEDDES AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123895",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 E GEDDES AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123895",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "ELLIOT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A143231",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD19673",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-40742",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "30587",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "59963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "646456",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NA1215131",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "646435",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "646349",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "646494",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "646400",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "646579",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000159280",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "111257116",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201195600A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "KA3249107",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NA1214130",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NA2517108",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diagnostic Imaging Associates
• Susan Irene Diana, PHARM D
• Diane B. Baer, PC
• Hannah Dick-Hodgson
• Anna Rachel Dickens-Corbett, M.D.
• Robin Elizabeth Dickinson, MD
• Shad Dickinson, PTA
• Jennifer Dickman
• Samantha Jean Dickson
• Jennifer Dieckman, MA

• Diagnostic Radiology Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Diagnostic Radiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.