Individual provider Active NPI

Jordan Charles Walker, DO

  • Internal Medicine Physician
  • Greenwood Village, CO
National Provider Identifier
1770119729
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0066833 Issued in CO
Practice address
5420 S Quebec St Ste 100
Greenwood Village, CO 80111-1902
Phone
(303) 856-5989
NPI assigned
Mar 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0066833 CO Primary
Hospitalist Physician 208M00000X DR.0066833 CO

Addresses

Primary practice location

5420 S Quebec St Ste 100
Greenwood Village, CO 80111-1902

Mailing address

5420 S Quebec St Ste 100
Greenwood Village, CO 80111-1902

Other practice location 1

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (720) 225-1000

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
I20230720001649 CO Practitioner - Osteopathic Manipulative MedicinePractitioner - Family PracticePractitioner - General Practice 4981064029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice, General Practice
Education
Rocky Vista University College of Osteopathic Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East West Family Health LLCGroup PAC ID 6002165933, 4 clinicians
Critical Care and Pulmonary Consultants, P.C.Group PAC ID 7315851953, 151 clinicians

Practice addresses (Care Compare)

5420 S Quebec St
Suite 100
Greenwood Village, CO 80111-1902
Phone (303) 221-6797

7100 E Belleview Ave
Suite G10
Greenwood Village, CO 80111-1634
Phone (303) 745-0000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
69.26
Improvement activities
40
Cost
69.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0066833COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Philippe G Lopez MD PC CurrentSince Jun 16, 2024 Accepting new patients
East West Family Health LLC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Critical Care & Pulmonary Consultants, PC Hospitalist CurrentSince Aug 4, 2023 Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

3464 S Willow St
Ste 272
Denver, CO 80231

7100 E Belleview Ave
Ste G10
Greenwood Village, CO 80111
Phone (303) 745-0000

5420 S Quebec St
Ste 100
Greenwood Village, CO 80111
Phone (303) 221-6796

Interoperability endpoints

  • Direct secure messaging: jordan.walker.1@16653.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1770119729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 S QUEBEC ST STE 100",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 S QUEBEC ST STE 100",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111902",
            "telephone_number": "303-856-5989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Ridgegate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245522",
            "country_code": "US",
            "telephone_number": "720-225-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JORDAN",
        "middle_name": "CHARLES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-20",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0066833",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0066833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.