NPIMap

Individual provider Active NPI

Gavin Wayne Arnett, M.D.

  • Diagnostic Radiology Physician
  • Usaf Academy, CO
National Provider Identifier
1841463452
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
109335 Issued in GA
Practice address
4102 Pinion Dr
Usaf Academy, CO 80840-2502
Phone
(719) 333-4983
NPI assigned
Apr 4, 2008
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 109335 GA Primary
Diagnostic Radiology Physician 2085R0202X DR.0057251 CO

Addresses

Primary practice location

4102 Pinion Dr
Usaf Academy, CO 80840-2502

Mailing address

1885 Mud Hen Dr
Colorado Springs, CO 80921-2094
Phone (719) 290-4040

Other practice location 1

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-5460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, GA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161010000243 CO Practitioner - Diagnostic Radiology 3072740554 Reassigns benefits to 4 organizations
I20190125001277 TX Practitioner - Diagnostic Radiology 3072740554 Reassigns benefits to 4 organizations
I20260501002724 GA Practitioner - Diagnostic Radiology 3072740554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Radiology Consultants PCGroup PAC ID 2769485655, 28 clinicians
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians
Lucidsolutions IncGroup PAC ID 0749603462, 84 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

Monument, CO 80132
Phone (317) 805-4093

Colorado Springs, CO 80921
Phone (317) 805-4093

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900

1885 Mud Hen Dr
Colorado Springs, CO 80921-2094
Phone (614) 340-7740

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109335GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Feb 28, 2019 Accepting new patients
Ton San Xavier Health Center CurrentSince Dec 1, 2018 Accepting new patients
Ton Sells Hospital CurrentSince Dec 1, 2018 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Tuba City Regional Health Care Corporation Current Accepting new patients
Ton San Simon Health Center CurrentSince Dec 1, 2018 Accepting new patients
Universal Radiology Consultants PC Diagnostic Radiology CurrentSince Aug 10, 2025 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Feb 28, 2019 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients

Locations

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

Organizations & group practices 13

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 13

Hospital & facility affiliations 8

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": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1841463452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 MUD HEN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212094",
            "telephone_number": "719-290-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 PINION DR",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-4983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Jarrett White Rd",
            "address_purpose": "LOCATION",
            "city": "Tripler Army Medical Center",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "808-433-5460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNETT",
        "first_name": "GAVIN",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "109335",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0057251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Usaf Academy, CO

Sources for this page

Verify at the official NPI Registry.