Individual provider Active NPI

Daniel C Huddle, DO

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
National Provider Identifier
1740241660
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
39231 Issued in CO
Practice address
1725 E Boulder St Ste 101
Colorado Springs, CO 80909
Phone
(719) 365-7300
Fax
(719) 365-7301
NPI assigned
Mar 30, 2006
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 05-36547 KS
Diagnostic Radiology Physician 2085R0202X DOS1581 HI
Diagnostic Radiology Physician 2085R0202X 672 NE
Diagnostic Radiology Physician 2085R0202X 39231 CO Primary

Addresses

Primary practice location

1725 E Boulder St Ste 101
Colorado Springs, CO 80909

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4034

Other practice location 1

501 E Hampden Ave
Englewood, CO 80113-2702
Phone (303) 761-9190

Other practice location 2

501 E Hampden Ave
Englewood, CO 80113-2702
Phone (303) 761-9190

Other identifiers 12

IdentifierTypeStateIssuer
200025570AMedicaidOK
109589700MedicaidWY
03679721MedicaidCO
104719840MedicaidMI
1740241660MedicaidCA
100414050BMedicaidKS
171617701MedicaidTX
1740241660MedicaidMT
1740241660MedicaidSD
10025709000MedicaidNE
2822768MedicaidNM
84059792913MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NC2 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
I20040525001226 CO Practitioner - Diagnostic Radiology 7012998271 Reassigns benefits to 3 organizations
I20251211001088 NC Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 7012998271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Michigan State University College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

103 Whitney LN
Durham, NC 27713-6653
Phone (888) 522-4514

1800 V Lakeshore Dr
Fayetteville, NC 28305-5241
Phone (888) 522-4514

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000468CTMDProfessional Counselor
39231COMDDiagnostic Radiology Physician
DOS1581HIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Sep 18, 2021 Accepting new patients
Uchealth Imaging Services LLC CurrentSince Sep 18, 2021 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Oct 21, 2019 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Oct 21, 2019 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology Current Accepting new patients
Radiology & Imaging Consultants PC Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Sep 27, 2025 Accepting new patients
Diagnostic Imaging Associates Diagnostic Radiology Past Accepting new patients

Locations

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

1370 Interquest Pkwy
Ste 100
Colorado Springs, CO 80921

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

1725 E Boulder St
Ste 101
Colorado Springs, CO 80909
Phone (719) 365-6300

3843 Rio Vista Dr
Ste 1100
Colorado Springs, CO 80917
Phone (719) 364-4903

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

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

1100 W 2nd St
Oshkosh, NE 69154
Phone (308) 772-3283

Organizations & group practices 8

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 6

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1740241660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-4034",
            "fax_number": "970-490-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E BOULDER ST STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-365-7300",
            "fax_number": "719-365-7301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 E Hampden Ave",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132702",
            "country_code": "US",
            "telephone_number": "303-761-9190",
            "fax_number": "303-761-6322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Hampden Ave",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132702",
            "country_code": "US",
            "telephone_number": "303-761-9190",
            "fax_number": "303-761-6322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDDLE",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "05-36547",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "DOS1581",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "672",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "39231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200025570A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109589700",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03679721",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104719840",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740241660",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100414050B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171617701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740241660",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740241660",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025709000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2822768",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84059792913",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.