NPIMap

Individual provider Active NPI

Farrel K Vanwagenen, MD

  • Diagnostic Radiology Physician
  • Englewood, CO
National Provider Identifier
1841380359
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36025 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
Oct 13, 2006
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 36025 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100408000456 CO Practitioner - Diagnostic Radiology 6709847544 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 1992
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

Practice addresses (Care Compare)

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

1280 Mesa Ave
Colorado Springs, CO 80906-3115
Phone (303) 761-9190

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

2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (720) 455-5000

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.1 of 100Reported as group
Quality
76.59
Improvement activities
40

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
84.8 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36025COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Radiologic Associates, LTD. Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Banner Imaging Services Colorado LLC Diagnostic Radiology CurrentSince Sep 8, 2024 Accepting new patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Diagnostic Radiology CurrentSince Mar 22, 2024 Accepting new patients
Banner Imaging Services Colorado LLC CurrentSince Sep 8, 2024 Accepting new patients
Radiology Imaging Associates, PC Diagnostic Radiology CurrentSince Mar 22, 2024 Accepting new patients
Dodge City Diagnostic, LLC CurrentSince Jun 1, 2024 Accepting new patients
Garden City Diagnostics LLC CurrentSince Jul 1, 2024 Accepting new patients
Radiology Imaging of Nebraska, LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 64)

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

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

1400 S Potomac St
Ste 180B
Aurora, CO 80012

6159 S Southlands Pkwy
Aurora, CO 80016
Phone (303) 269-3000

700 Potomac St
Aurora, CO 80011
Phone (303) 360-3050

700 Potomac St
Fl 2
Aurora, CO 80011
Phone (319) 273-8992

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

602 N 6th St W
Cheyenne Wls, CO 80810
Phone (719) 767-5661

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

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

950 E Harvard Ave
Ste 350
Denver, CO 80210
Phone (303) 722-9923

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

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

499 E Hampden Ave
Ste 380
Englewood, CO 80113
Phone (303) 788-5300

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

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

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

702 W Drake Rd
Ste A
Fort Collins, CO 80526
Phone (970) 229-4600

400 Indiana St
Ste 100
Golden, CO 80401
Phone (720) 420-3000

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

400 Indiana St
Ste 210
Golden, CO 80401
Phone (720) 754-8002

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

Organizations & group practices 10

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1841380359",
    "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",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWAGENEN",
        "first_name": "FARREL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "36025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.