Active NPI
Daniel C Huddle, DO
- Diagnostic Radiology Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 39231
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200025570A | Medicaid | OK | |
| 109589700 | Medicaid | WY | |
| 03679721 | Medicaid | CO | |
| 104719840 | Medicaid | MI | |
| 1740241660 | Medicaid | CA | |
| 100414050B | Medicaid | KS | |
| 171617701 | Medicaid | TX | |
| 1740241660 | Medicaid | MT | |
| 1740241660 | Medicaid | SD | |
| 10025709000 | Medicaid | NE | |
| 2822768 | Medicaid | NM | |
| 84059792913 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000468 | CT | MD | Professional Counselor |
| 39231 | CO | MD | Diagnostic Radiology Physician |
| DOS1581 | HI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Uchealth Imaging Services LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology & Imaging Consultants PC | Diagnostic Radiology | Current | Accepting new patients |
| Columbus Radiology Corp | Diagnostic Radiology | Current | 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.
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Diagnostic Radiology Physician
- Colorado Springs, CO
- NPI 1598700825
-
- Diagnostic Radiology Physician
- Broomfield, CO
- NPI 1396210902
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Radiology Clinic/Center
- Colorado Springs, CO
- NPI 1063011096
-
- Diagnostic Radiology Physician
- Highlands Ranch, CO
- NPI 1043162142
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1447299425
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adena Regional Medical Center
- General Acute Care Hospital
- Chillicothe, OH
- NPI 1902839673
-
- General Acute Care Hospital
- Lancaster, OH
- NPI 1467433763
-
dba Mercy Health St Vincent Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
dba Mercy Health St Elizabeth Youngstown Hospital
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
dba Mercy Health Youngstown Laboratory
- Clinical Medical Laboratory
- Youngstown, OH
- NPI 1831600295
Hospital
-
dba Grant Medical Center
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.