Individual provider Active NPI

John R Shank, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1831141290
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
CO40999 Issued in CO
Practice address
2446 Research Pkwy
Suite 200
Colorado Springs, CO 80920-1087
Phone
(719) 623-1050
Fax
(719) 623-1052
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X CO40999 CO
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X CO40999 CO Primary
Orthopaedic Trauma Physician 207XX0801X CO40999 CO

Addresses

Primary practice location

2446 Research Pkwy
Suite 200
Colorado Springs, CO 80920-1087

Mailing address

2446 Research Pkwy
Suite 200
Colorado Springs, CO 80920-1087
Phone (719) 623-1050

Other identifiers 1

IdentifierTypeStateIssuer
85089320MedicaidCO

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
I20040825000686 CO Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8628042561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Cincinnati College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

2446 Research Pkwy
Suite 200
Colorado Springs, CO 80920-1087
Phone (719) 623-1050

406 E Grace Ave
Woodland Park, CO 80863-3127
Phone (719) 687-3767

4617 W 20TH St
Greeley, CO 80634-3207
Phone (970) 352-9022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
43.24 of 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)25
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CO40999COMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC Orthopaedic Surgery CurrentSince Nov 1, 2019 Accepting new patients
Orthopedic Centers of Colorado, LLC Orthopaedic Surgery CurrentSince Nov 1, 2019 Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

2430 Research Pkwy
Ste 100
Colorado Springs, CO 80920
Phone (719) 623-1050

2430 Research Pkwy
Ste 205
Colorado Springs, CO 80920
Phone (505) 322-6687

1263 Lake Plaza Dr
Ste 210
Colorado Springs, CO 80906
Phone (719) 623-1050

2446 Research Pkwy
Ste 200
Colorado Springs, CO 80920
Phone (719) 623-1050

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

Interoperability endpoints

  • Direct secure messaging: johnshank@occllc.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1831141290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 RESEARCH PKWY",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201087",
            "telephone_number": "719-623-1050",
            "fax_number": "719-623-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 RESEARCH PKWY",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201087",
            "telephone_number": "719-623-1050",
            "fax_number": "719-623-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANK",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "CO40999",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CO",
            "license": "CO40999",
            "primary": true
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CO",
            "license": "CO40999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85089320",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.