Individual provider Active NPI

Tyler J Green, MD

  • Vascular & Interventional Radiology Physician
  • Englewood, CO
National Provider Identifier
1780849620
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
DR.0055471 Issued in CO
Practice address
10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Phone
(303) 761-9190
Fax
(720) 874-4462
NPI assigned
Jul 21, 2008
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 04-40433 KS
Diagnostic Radiology Physician 2085R0202X 55471 CO
Diagnostic Radiology Physician 2085R0202X MD19335 HI
Diagnostic Radiology Physician 2085R0202X 30330 NE
Diagnostic Radiology Physician 2085R0202X MD166193 OR
Vascular & Interventional Radiology Physician 2085R0204X DR.0055471 CO Primary

Addresses

Primary practice location

10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895

Mailing address

10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Phone (303) 761-9190

Other identifiers 10

IdentifierTypeStateIssuer
590453YQ33OtherCOMEDICARE PIN
590453YQ3LOtherCOMEDICARE PIN
1780849620MedicaidCO
NA1214123OtherNEMEDICARE PIN
111257111OtherKSMEDICARE PIN
590453YQN9OtherCOMEDICARE PIN
NA2517101OtherNEMEDICARE PIN
KA3249102OtherKSMEDICARE PIN
590453YQPGOtherCOMEDICARE PIN
NA1215124OtherNEMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 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
I20170825000452 CO Practitioner - Interventional Radiology 1658596622 Reassigns benefits to 9 organizations
I20171011000745 KS Practitioner - Diagnostic Radiology 1658596622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of Colorado School of Medicine, Denver, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Radiologic Associates LTDGroup PAC ID 0941190953, 91 clinicians
Radiology Imaging Associates PCGroup PAC ID 2860391257, 147 clinicians
Banner Imaging Services Colorado LLCGroup PAC ID 7416377270, 90 clinicians
Ria Endovascular LLCGroup PAC ID 5597709717, 30 clinicians
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians

Practice addresses (Care Compare)

10800 E Geddes Ave
Suite 300
Englewood, CO 80112-3895
Phone (303) 761-9190

1400 S Potomac St
Aurora, CO 80012-5411
Phone (720) 493-3388

1900 Boise Ave
Suite 110
Loveland, CO 80538-5004
Phone (970) 810-6070

201 Albert Ave
Scott City, KS 67871-6117
Phone (620) 872-5811

2555 E 13TH St
Suite 100
Loveland, CO 80537-5134
Phone (970) 810-6070

3434 Bryant St
Denver, CO 80211-3348
Phone (303) 761-9190

8200 E Belleview Ave
Suite 600E
Greenwood Village, CO 80111-2898
Phone (720) 493-3406

8200 E Belleview Ave 600
Ria Endovascular LLC
Greenwood Village, CO 80111-2898
Phone (720) 493-3406

8200 Southpark Ter
Littleton, CO 80120-5614
Phone (720) 493-3251

875 W 136TH Ave
100 Uchealth Imaging SVCS Broomfield
Broomfield, CO 80023-9303
Phone (303) 457-7700

9051 SSG Chris Falkel Dr
Suite 100
Highlands Ranch, CO 80129-3189
Phone (720) 516-0683

9420 S Star Hill Cir
Lone Tree, CO 80124-5479
Phone (303) 761-9190

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

Merit-based Incentive Payment System (MIPS)

Final score
70.7 of 100Reported as group
Quality
65.53
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
66.45 of 100Reported as group
Quality
58.19
Improvement activities
40
Cost
52.87

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal22
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19335HIMDDiagnostic Radiology Physician
DR.0055471COMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Hawaii Radiologic Associates, LTD. Diagnostic Radiology CurrentSince Aug 3, 2017 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jan 6, 2026 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Aug 3, 2017 Accepting new patients
Banner Imaging Services Colorado LLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Diagnostic Radiology CurrentSince Aug 3, 2017 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Aug 3, 2017 Accepting new patients
Ria Endovascular, LLC Diagnostic Radiology CurrentSince Aug 3, 2017 Accepting new patients
Banner Imaging Services Colorado LLC CurrentSince Oct 1, 2020 Accepting new patients
Dodge City Diagnostic, LLC CurrentSince Jan 2, 2018 Accepting new patients
TMS Physician Services, P.C. CurrentSince Oct 8, 2019 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Salem Imaging LLC Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
HCA-Healthone, LLC Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients

Locations (25 of 56)

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

1400 S Potomac St
Ste 180
Aurora, CO 80012
Phone (303) 695-2603

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

1175 S Perry St
Castle Rock, CO 80104
Phone (303) 279-3777

9681 Prominent Pt
Ste 130
Colorado Springs, CO 80924
Phone (719) 600-3700

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

2055 N High St
Ste 180
Denver, CO 80205
Phone (303) 839-7490

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

3300 E 1st Ave
Ste 490
Denver, CO 80206

10700 E Geddes Ave
Ste 200
Englewood, CO 80112

10800 E Geddes Ave
Ste 300
Englewood, CO 80112
Phone (303) 791-9190

14200 E Arapahoe Rd
Englewood, CO 80112
Phone (303) 699-3000

401 W Hampden Pl
Ste 40
Englewood, CO 80110

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

701 E Hampden Ave
Ste 110
Englewood, CO 80113
Phone (303) 515-2023

701 E Hampden Ave
Ste 360
Englewood, CO 80113
Phone (720) 493-3422

9780 Pyramid Ct
Ste 160
Englewood, CO 80112
Phone (303) 396-9391

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

400 Indiana St
Ste 130
Golden, CO 80401
Phone (720) 493-3411

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

1801 16th St
Fl 4
Greeley, CO 80631
Phone (970) 810-6953

1801 16th St
Ste 4
Greeley, CO 80631

2001 70th Ave
Ste 300
Greeley, CO 80634
Phone (970) 810-6353

5623 19th St
Greeley, CO 80634
Phone (970) 353-9011

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 12

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1780849620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 E GEDDES AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123895",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
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            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123895",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TYLER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
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            "code": "2085R0202X",
            "taxonomy_group": "",
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            "state": "HI",
            "license": "MD19335",
            "primary": false
        },
        {
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            "taxonomy_group": "",
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            "state": "NE",
            "license": "30330",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
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            "state": "OR",
            "license": "MD166193",
            "primary": false
        },
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    "identifiers": [
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            "issuer": null,
            "identifier": "1780849620",
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        },
        {
            "code": "01",
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        {
            "code": "01",
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            "issuer": "MEDICARE PIN",
            "identifier": "KA3249102",
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        {
            "code": "01",
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            "issuer": "MEDICARE PIN",
            "identifier": "590453YQPG",
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        {
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            "issuer": "MEDICARE PIN",
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    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.