Individual provider Active NPI

Kaitlin Mitsuko Ford, M.D.

  • Diagnostic Radiology Physician
  • Fort Collins, CO
National Provider Identifier
1700375250
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0072261 Issued in CO
Practice address
1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone
(970) 495-7000
NPI assigned
May 9, 2018
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 16916A WY
Diagnostic Radiology Physician 2085R0202X 36136 NE
Diagnostic Radiology Physician 2085R0202X DR.0072261 CO Primary

Addresses

Primary practice location

1024 S Lemay Ave
Fort Collins, CO 80524-3929

Mailing address

2008 Caribou Dr
Fort Collins, CO 80525-4325
Phone (970) 484-4757

Other practice location 1

1760 E Ken Pratt Blvd Ste 202
Longmont, CO 80504-5311
Phone (720) 718-8503

Other practice location 2

16990 Village Center Dr E
Parker, CO 80134-9376
Phone (720) 516-9191

Other practice location 3

1024 Central Park Dr
Steamboat Springs, CO 80487-8813
Phone (970) 879-1322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240516003755 WY Practitioner - Diagnostic Radiology 9436517190 Reassigns benefits to 1 organization
I20240521001105 CO Practitioner - Diagnostic Radiology 9436517190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
F H Netter, M.D. School of Med at Quinnipiac Univ, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Collins Radiologic Associates PCGroup PAC ID 7315844396, 63 clinicians
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians

Practice addresses (Care Compare)

1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone (970) 495-7000

1760 E Ken Pratt Blvd
101 Uchealth Imaging LPMC
Longmont, CO 80504-5311
Phone (720) 718-5100

255 N 30TH St
Laramie, WY 82072-5140
Phone (307) 742-2141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0072261COMDDiagnostic Radiology Physician
36136NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Collins Radiologic Associates PC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Harmony Imaging Center LLC Diagnostic Radiology CurrentSince Jun 11, 2024 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology Current Accepting new patients
Yampa Valley Medical Center Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations (25 of 26)

11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000

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

100 Cook St
Ste 100
Denver, CO 80206
Phone (720) 516-9420

100 Cook St
Ste 212
Denver, CO 80206
Phone (720) 516-9200

100 Cook St
Ste 404
Denver, CO 80206
Phone (720) 516-9200

100 Cook St
Ste 410
Denver, CO 80206
Phone (720) 516-9420

5589 Argonne St
Denver, CO 80249
Phone (303) 371-0330

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

2008 Caribou Dr
Fort Collins, CO 80525

2127 E Harmony Rd
Ste 100
Fort Collins, CO 80528
Phone (970) 207-4700

2127 E Harmony Rd
Ste 130
Fort Collins, CO 80528
Phone (970) 207-4700

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

9620 E Arapahoe Rd
Greenwood Village, CO 80112
Phone (303) 222-2118

4508 Endeavor Dr
Ste 200
Johnstown, CO 80534
Phone (970) 282-2912

1750 E Ken Pratt Blvd
Longmont, CO 80504
Phone (720) 718-7000

1760 E Ken Pratt Blvd
Ste 101
Longmont, CO 80504
Phone (720) 718-5100

1760 E Ken Pratt Blvd
Ste 202
Longmont, CO 80504
Phone (720) 718-5200

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

16990 Village Center Dr E
Parker, CO 80134
Phone (303) 805-3020

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

1000 W 8th Ave
Yuma, CO 80759
Phone (970) 345-6336

1313 S St
Bridgeport, NE 69336
Phone (308) 262-1616

255 W 4th St
Kimball, NE 69145
Phone (308) 235-1951

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

Organizations & group practices 7

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1700375250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 CARIBOU DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254325",
            "telephone_number": "970-484-4757",
            "fax_number": "970-484-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 S LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243929",
            "telephone_number": "970-495-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 E Ken Pratt Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805045311",
            "country_code": "US",
            "telephone_number": "720-718-8503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16990 Village Center Dr E",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801349376",
            "country_code": "US",
            "telephone_number": "720-516-9191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1024 Central Park Dr",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804878813",
            "country_code": "US",
            "telephone_number": "970-879-1322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "KAITLIN",
        "middle_name": "MITSUKO",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "16916A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "36136",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0072261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.