NPIMap

Individual provider Active NPI

Joshua Walker Kuethe

  • Surgery Physician
  • Fort Collins, CO
National Provider Identifier
1881983807
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0065463 Issued in CO
Practice address
2121 E Harmony Rd Unit 330
Fort Collins, CO 80528-3403
Phone
(970) 221-5878
Fax
(970) 221-3564
NPI assigned
Mar 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35125553 OH
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X DR.0065463 CO Primary

Addresses

Primary practice location

2121 E Harmony Rd Unit 330
Fort Collins, CO 80528-3403

Mailing address

2121 E Harmony Rd Unit 330
Fort Collins, CO 80528-3403
Phone (970) 221-5878

Other practice location 1

2121 E Harmony Rd Unit 330
Fort Collins, CO 80528-3403
Phone (970) 221-5878

Other practice location 2

231 Albert Sabin Way
ML 0558
Cincinnati, OH 45267
Phone (513) 558-5861

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
I20201208000858 CO Practitioner - General Surgery 4385884436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Cincinnati College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

2121 E Harmony Rd
Unit 330 Uchmg Surgical Spec FC
Fort Collins, CO 80528-3403
Phone (970) 221-5878

Hospital & facility affiliations

  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
  • Uchealth Yampa Valley Medical Center Hospital, Steamboat Springs, CO, CCN 060049
  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Sidney Regional Medical Center Hospital, Sidney, NE, CCN 281357

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)11
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0065463COMDSurgery Physician
35125553OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jan 25, 2021 Accepting new patients
Poudre Valley Medical Group, LLC Surgery CurrentSince Jan 25, 2021 Accepting new patients
Poudre Valley Health Care Inc. Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

555 Prospect Ave
Estes Park, CO 80517
Phone (970) 586-2200

2121 E Harmony Rd
Unit 330
Fort Collins, CO 80528
Phone (970) 221-5878

9330 S University Blvd
Ste 230
Highlands Ranch, CO 80126
Phone (720) 516-0600

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1881983807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 330",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283403",
            "telephone_number": "970-221-5878",
            "fax_number": "970-221-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 330",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283403",
            "telephone_number": "970-221-5878",
            "fax_number": "970-221-3564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 E Harmony Rd Unit 330",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805283403",
            "country_code": "US",
            "telephone_number": "970-221-5878",
            "fax_number": "970-221-3564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 Albert Sabin Way",
            "address_2": "ML 0558",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45267",
            "country_code": "US",
            "telephone_number": "513-558-5861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUETHE",
        "first_name": "JOSHUA",
        "middle_name": "WALKER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-30",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35125553",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0065463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.