NPIMap

Individual provider Active NPI

Daniel W Koontz, MD

  • Neurology Physician
  • Littleton, CO
National Provider Identifier
1912915638
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DR.0053590 Issued in CO
Practice address
7780 S Broadway Ste 260
Littleton, CO 80122-2633
Phone
(303) 730-2883
Fax
(303) 730-2471
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35-087358 OH
Neurology Physician 2084N0400X 04-46789 KS
Neurology Physician 2084N0400X DR.0053590 CO Primary

Addresses

Primary practice location

7780 S Broadway Ste 260
Littleton, CO 80122-2633

Mailing address

7780 S Broadway Ste 260
Littleton, CO 80122-2633
Phone (303) 730-2883

Other practice location 1

2222 N Nevada Ave Ste 5001
Colorado Springs, CO 80907-6865
Phone (719) 776-3580

Other practice location 2

401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2222

Other identifiers 7

IdentifierTypeStateIssuer
4315260OtherOHAETNA
363718OtherOHWELLCARE MEDICAID
744032OtherOHBUCKEYE MEDICAID
P00428932OtherOHRAILROAD MEDICARE
000000209908OtherOHUNISON
2672246MedicaidOH
000000503643OtherOHANTHEM

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
I20140807000366 CO Practitioner - Neurology 4587668264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Colorado Neurodiagnostics PLLCGroup PAC ID 1658373949, 5 clinicians

Practice addresses (Care Compare)

4 W Dry Creek Cir
Suite 150
Littleton, CO 80120-8072
Phone (303) 730-2883

Hospital & facility affiliations

  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125
  • Adventhealth Avista Hospital, Louisville, CO, CCN 060103
  • AdventHealth Porter Hospital, Denver, CO, CCN 060064

Merit-based Incentive Payment System (MIPS)

Final score
20.03 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
66.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0053590COMDNeurology Physician
04-46789KSMDNeurology Physician
35-087358OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Neurodiagnostics PLLC Neurology CurrentSince Jul 15, 2014 Accepting new patients

Locations

4 W Dry Creek Cir
Ste 150
Littleton, CO 80120
Phone (303) 730-2471

7780 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 347-5360

Organizations & group practices 1

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1912915638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY STE 260",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222633",
            "telephone_number": "303-730-2883",
            "fax_number": "303-730-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY STE 260",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222633",
            "telephone_number": "303-730-2883",
            "fax_number": "303-730-2471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 N Nevada Ave Ste 5001",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809076865",
            "country_code": "US",
            "telephone_number": "719-776-3580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465679",
            "country_code": "US",
            "telephone_number": "620-272-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "DANIEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35-087358",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-46789",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0053590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4315260",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICAID",
            "identifier": "363718",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE MEDICAID",
            "identifier": "744032",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00428932",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000209908",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2672246",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000503643",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.