Nathan Young Gene Kim, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Fort Collins, CO
NPI 1780079178 · NPPES record last updated Jul 22, 2021
Key facts
- NPI
- 1780079178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- DR.0065721 (CO)
- Practice address
- 1024 S Lemay Ave
Fort Collins, CO 80524-3929 - Phone
- (970) 495-7000
- NPI assigned
- Apr 2, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 21
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Arizona College of Medicine - Phoenix, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Uchealth Imaging Services LLC
Fort Collins Radiologic Associates PC
Practice addresses (Care Compare)
100 Cook St
Suite 100
Denver, CO 80206-5327
Phone (720) 516-9420
1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone (970) 495-7000
255 N 30TH St
Laramie, WY 82072-5140
Phone (307) 742-2141
Hospital & facility affiliations
- Medical Center of the Rockies
- Poudre Valley Hospital
- Longs Peak Hospital
- Uchealth Greeley Hospital
- Ivinson Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210520002352 | CO | Practitioner - Diagnostic Radiology | 3870873664 | Reassigns benefits to 2 organizations |
| I20210521001313 | WY | Practitioner - Diagnostic Radiology | 3870873664 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0065721 | CO | MD | Diagnostic Radiology Physician |
| 33410 | NE | MD | Diagnostic Radiology Physician |
| 13491A | WY | MD | Diagnostic Radiology Physician |
| 6113 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Imaging Center LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Fort Collins Radiologic Associates PC | Diagnostic Radiology | Current |
Accepting new patients |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Uchealth Imaging Services, LLC | Current |
Accepting new patients |
Locations
875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700
11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000
100 Cook St
Ste 404
Denver, CO 80206
Phone (720) 516-9200
100 Cook St
Ste 100
Denver, CO 80206
Phone (720) 516-9420
100 Cook St
Ste 410
Denver, CO 80206
Phone (720) 516-9420
100 Cook St
Ste 212
Denver, CO 80206
Phone (720) 516-9200
5589 Argonne St
Denver, CO 80249
Phone (303) 371-0330
2127 E Harmony Rd
Ste 100
Fort Collins, CO 80528
Phone (970) 207-4700
1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000
2008 Caribou Dr
Fort Collins, CO 80525
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
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425
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
255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 13491A | WY | |
| Diagnostic Radiology Physician | 2085R0202X | 33410 | NE | |
| Diagnostic Radiology Physician | 2085R0202X | DR.0065721 | CO | Yes |
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 providers in Fort Collins, CO
- Caroline Kilpatrick
- Elizabeth Marie Kilpatrick
- Helen M Kilzer
- Gina H Kim
- Minna Kim
- Paige Livingston Kim
- Kimball Endodontics
- Kay Kimball
- Sue E Kimbell
- Summer Alexus Kimble-Jennings
All providers in Fort Collins, CO · Diagnostic Radiology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.