Active NPI
John R Shank, M.D.
- Orthopaedic Foot and Ankle Surgery Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- CO40999
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85089320 | Medicaid | CO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- 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 Partnership
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 100
- Quality
- 73.53
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 70.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 25 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO40999 | CO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Centers of Colorado, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopedic Centers of Colorado, LLC | Orthopaedic Surgery | Current | 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
- 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.
-
dba Perioperative Medicine Care Center
- Orthopaedic Surgery Physician
- Denver, CO
- NPI 1801339502
-
- Orthopaedic Surgery Physician
- Superior, CO
- NPI 1336870856
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Francis Hospital - Interquest
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1295431765
-
dba St. Mary-Corwin Hospital
- General Acute Care Hospital
- Pueblo, CO
- NPI 1306857974
-
dba St. Mary-Corwin Wound Care Center
- General Acute Care Hospital
- Pueblo, CO
- NPI 1841830452
-
dba Centura Health - St. Mary Corwin Hospital
- Nursing Facility/Intermediate Care Facility
- Pueblo, CO
- NPI 1942391487
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.