Brian C Joondeph, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

04-30566 Issued in KS

Practice address

8101 E Lowry Blvd Ste 210
Denver, CO 80230-7195

Phone

(303) 261-1600

Fax

(303) 261-1601

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Northwestern University Feinberg Medical School, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Retina Associates, PLLCGroup PAC ID 6002817566, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.8 of 100Reported as group

Quality

100

Promoting interoperability

96

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Colorado Retina Associates, PLLC

  • Medical Specialty Clinic/Center
  • Lakewood, CO
  • NPI 1790876159
  Medicare reassignment Care Compare group
• Retinal Alliance, PC

  • Specialist
  • Denver, CO
  • NPI 1619922119
  NPD (past)
• Vitreo-Retinal Consultants, P.C.

  • Specialist
  • Clinton Township, MI
  • NPI 1902071251
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1932151230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 E LOWRY BLVD",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307195",
            "telephone_number": "303-261-1600",
            "fax_number": "303-261-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 E LOWRY BLVD STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307195",
            "telephone_number": "303-261-1600",
            "fax_number": "303-261-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOONDEPH",
        "first_name": "BRIAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-30566",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KS",
            "license": "04-30566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44626347",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joni Handran LLC
• Joni Handran LLC
• Venkata Naga Sravant Jonnalagadda, DDS
• Leila Jonsson, SWC
• Mary Margaret Jonsson, PHD
• McKenna Joosten
• Jenni Jordan Abel, RN
• Jordan Wakefield, PLLC
• Barbara Jordan, PT
• Camden Brooks Jordan, B.A

• Retina Specialist (Ophthalmology) Physician in Denver, CO
• Providers in Denver, CO by specialty
• Retina Specialist (Ophthalmology) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.