Individual provider Active NPI

John Cleveland Hughes, DO

  • General Practice Physician
  • Basalt, CO
National Provider Identifier
1700084233
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
47944 Issued in CO
Practice address
227 Midland Ave
18B
Basalt, CO 81621-8364
Phone
(970) 927-0308
Fax
(970) 927-0394
NPI assigned
Jul 5, 2007
Last updated
Nov 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 47944 CO Primary

Addresses

Primary practice location

227 Midland Ave
18B
Basalt, CO 81621-8364

Mailing address

227 Midland Ave
18B
Basalt, CO 81621-8364
Phone (970) 927-0308

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
I20150127001796 CO Practitioner - General Practice 6507180387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1460 E Valley Rd
Suite 104
Basalt, CO 81621-8412
Phone (970) 927-4950

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47944COMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Win Hbo CurrentSince Jan 1, 2023 Accepting new patients

Locations

1460 E Valley Rd
Ste 104
Basalt, CO 81621
Phone (970) 384-8447

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1700084233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MIDLAND AVE",
            "address_2": "18B",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218364",
            "telephone_number": "970-927-0308",
            "fax_number": "970-927-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MIDLAND AVE",
            "address_2": "18B",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218364",
            "telephone_number": "970-927-0308",
            "fax_number": "970-927-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JOHN",
        "middle_name": "CLEVELAND",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "47944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

Verify at the official NPI Registry.