NPIMap

Individual provider Active NPI

John H Drury, M.D.

  • Cardiovascular Disease Physician
  • Sterling, CO
National Provider Identifier
1700975570
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
48066 Issued in CO
Practice address
1405 S 8TH Ave
Suite 104
Sterling, CO 80751-4563
Phone
(970) 526-8181
Fax
(970) 526-8178
NPI assigned
Oct 12, 2006
Last updated
Jun 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 48066 CO Primary
Cardiovascular Disease Physician 207RC0000X 5842A WY
Cardiovascular Disease Physician 207RC0000X 20108 NE
Cardiovascular Disease Physician 207RC0000X 4071 SD
Cardiovascular Disease Physician 207RC0000X 041374 CT

Addresses

Primary practice location

1405 S 8TH Ave
Suite 104
Sterling, CO 80751-4563

Mailing address

1405 S 8TH Ave
Suite 104
Sterling, CO 80751-4563
Phone (970) 526-8181

Other identifiers 2

IdentifierTypeStateIssuer
1700975570MedicaidWY
68153767MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090825000647 CO Practitioner - Cardiovascular Disease (Cardiology) 8628965720 Reassigns benefits to 1 organization
I20130806000845 WY Practitioner - Cardiovascular Disease (Cardiology) 8628965720 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Saint Louis University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community HospitalGroup PAC ID 6608784194, 23 clinicians

Practice addresses (Care Compare)

1001 E Johnson St
Holyoke, CO 80734-1854
Phone (970) 854-2241

1405 S 8TH Ave
Sterling, CO 80751-4560

1800 15TH St
Greeley, CO 80631-4562

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121

2400 Edison St
Brush, CO 80723-1640
Phone (970) 842-6200

4700 Lady Moon Dr
Fort Collins, CO 80528-4426

615 Fairhurst St
Sterling, CO 80751-4523
Phone (970) 522-0122

625 Albany Ave
Torrington, WY 82240-1530
Phone (307) 532-2107

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48066COMDCardiovascular Disease Physician
4071SDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians West LLC CurrentSince Nov 21, 2016 Accepting new patients
Banner Health Physicians West LLC CurrentSince Nov 21, 2016 Accepting new patients
Community Hospital CurrentSince May 27, 2017 Accepting new patients
Community Hospital CurrentSince May 27, 2017 Accepting new patients
Community Hospital Cardiovascular Disease Current Accepting new patients
Northeast Medical Group, Inc. Cardiovascular Disease Past Accepting new patients
Rapid City Indian Health Service Hospital Past Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients
Saint Raphael Faculty Physicians Cardiovascular Disease Past Accepting new patients

Locations

2601 N Spruce St
Ogallala, NE 69153
Phone (308) 284-3645

2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181

625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801

201 14th St
Wheatland, WY 82201
Phone (307) 322-3636

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Interoperability endpoints

  • Direct secure messaging: john.drury.1@15466.direct.athenahealth.com

Organizations & group practices 10

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1700975570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S 8TH AVE",
            "address_2": "SUITE 104",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514563",
            "telephone_number": "970-526-8181",
            "fax_number": "970-526-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S 8TH AVE",
            "address_2": "SUITE 104",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514563",
            "telephone_number": "970-526-8181",
            "fax_number": "970-526-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRURY",
        "first_name": "JOHN",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "48066",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WY",
            "license": "5842A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "20108",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SD",
            "license": "4071",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "041374",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700975570",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68153767",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

Verify at the official NPI Registry.