John Michael Paddack, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

53595 Issued in CO

Practice address

2030 Mountain View Ave Ste 420
Longmont, CO 80501-3182

Phone

(303) 776-9400

NPI assigned

May 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Urology

Education

Texas Tech University Health Science Center School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Urology PLLCGroup PAC ID 2365346558, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Longmont United Hospital Hospital, Longmont, CO, CCN 060003
• Boulder Community Health Hospital, Boulder, CO, CCN 060027
• Longs Peak Hospital Hospital, Longmont, CO, CCN 060128
• Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116
• Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnpaddack@fu.allscriptsdirect.net

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.

• Advanced Urology, PLLC

  • Urology Physician
  • Lone Tree, CO
  • NPI 1962501551
  Medicare reassignment Care Compare group NPD
• Rocky Mountain Lithotripter LLC

  • Urology Physician
  • Englewood, CO
  • NPI 1134202435
  Medicare reassignment NPD
• Advanced Urology, PLLC

  • Urology Physician
  • Englewood, CO
  • NPI 1386448835
  NPD
• Foothills Urology, PC

  • Urology Physician
  • Golden, CO
  • NPI 1780617795
  NPD

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

• Boulder Community Health

  • Primary Care Clinic/Center
  • Boulder, CO
  • NPI 1013564517

  Hospital

  Care Compare affiliation
• Boulder Community Health

  • Sleep Disorder Diagnostic Clinic/Center
  • Boulder, CO
  • NPI 1093357907

  Hospital

  Care Compare affiliation
• Boulder Community Health

  • Radiology Clinic/Center
  • Broomfield, CO
  • NPI 1215585377

  Hospital

  Care Compare affiliation
• Boulder Community Health

  • Clinical Medical Laboratory
  • Erie, CO
  • NPI 1285282350

  Hospital

  Care Compare affiliation
• Boulder Community Health

  • Clinic/Center
  • Boulder, CO
  • NPI 1306493879

  Hospital

  Care Compare affiliation
• Boulder Community Health

  • Home Health Agency
  • Boulder, CO
  • NPI 1336252295

  Hospital

  Care Compare affiliation
• Boulder Community Health

  • Physical Therapy Clinic/Center
  • Boulder, CO
  • NPI 1457417966

  Hospital

  Care Compare affiliation
• Boulder Community Health

  • Radiology Clinic/Center
  • Erie, CO
  • NPI 1467000539

  Hospital

  Care Compare affiliation
• Boulder Community Health

  • Clinical Medical Laboratory
  • Lafayette, CO
  • NPI 1477101541

  Hospital

  Care Compare affiliation
• Boulder Community Health

  • Radiology Clinic/Center
  • Boulder, CO
  • NPI 1477101608

  Hospital

  Care Compare affiliation
• Boulder Community Health

  • Birthing Clinic/Center
  • Boulder, CO
  • NPI 1477215663

  Hospital

  Care Compare affiliation
• Boulder Community Health

  • Radiology Clinic/Center
  • Lafayette, CO
  • NPI 1487202552

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1780819607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366",
            "telephone_number": "410-581-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVE STE 420",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013182",
            "telephone_number": "303-776-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1813 Cheyenne Ave",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805384244",
            "country_code": "US",
            "telephone_number": "970-203-2475",
            "fax_number": "970-203-2476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADDACK",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "53595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Oyoung-Oliver, D.O.
• Bridget Pace, PHARMD
• Robert Scott Pace, MD
• Nathan Pacheco, MA, NCC, LPCC
• Ryan Samuel Pack
• Ariadhne Padilla-Diffoot, PHD
• Amili Paer
• Paffenroth Chiropractic LLC
• Kasey Page, DMD
• Egor Pakhomov

• Urology Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Urology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.

Verify at the official NPI Registry.