Active NPI
Raymond Alan Mencini, M.D.
- Diagnostic Radiology Physician
- Lakewood, CO
National Provider Identifier
1831158468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25917
- Practice address
- 11700 W 2ND PL Ste 100
Lakewood, CO 80228-1707 - Phone
- (720) 321-8358
- Fax
- (720) 321-8231
- NPI assigned
- Mar 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25917 | CO | Primary |
Addresses
Primary practice location
11700 W 2ND PL Ste 100
Lakewood, CO 80228-1707
Mailing address
PO Box 911057
Denver, CO 80291-1057
Phone (888) 269-7001
Other practice location 1
1380 Tulip St
Longmont, CO 80501-3157
Phone (303) 651-5160
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00212100 | Other | CO | RAILROAD MEDICARE |
| 01259175 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25917 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver NMR, Inc | Past | Accepting new patients | |
| Schryver Medical Sales and Marketing Inc. | Past | Accepting new patients | |
| Goodland Regional Medical Center | Past | Accepting new patients | |
| New Schryver LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Denver, CO
- NPI 1699747857
-
- Mobile Radiology Clinic/Center
- Denver, CO
- NPI 1295849537
-
dba Goodland Regional Home Health Agency
- Home Health Agency
- Goodland, KS
- NPI 1992164099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1831158468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911057",
"city": "DENVER",
"state": "CO",
"postal_code": "802911057",
"telephone_number": "888-269-7001",
"fax_number": "303-764-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11700 W 2ND PL STE 100",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281707",
"telephone_number": "720-321-8358",
"fax_number": "720-321-8231"
}
],
"practiceLocations": [
{
"address_1": "1380 Tulip St",
"address_purpose": "LOCATION",
"city": "Longmont",
"state": "CO",
"postal_code": "805013157",
"country_code": "US",
"telephone_number": "303-651-5160",
"fax_number": "303-651-5173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENCINI",
"first_name": "RAYMOND",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "25917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00212100",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01259175",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.