Individual provider Active NPI

Du Jun, DPM

  • Foot & Ankle Surgery Podiatrist
  • Grand Junction, CO
National Provider Identifier
1972090850
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD.0000885 Issued in CO
Practice address
2530 N 8TH St Ste 206
Grand Junction, CO 81501-8858
Phone
(970) 361-2659
NPI assigned
Apr 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD.0000885 CO
Foot & Ankle Surgery Podiatrist 213ES0103X POD.0000885 CO Primary

Addresses

Primary practice location

2530 N 8TH St Ste 206
Grand Junction, CO 81501-8858

Mailing address

2530 N 8TH St Ste 206
Grand Junction, CO 81501-8858
Phone (970) 245-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721000934 CT Practitioner - Podiatry 5991109449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bristol Hospital Multi Specialty Group, Inc.Group PAC ID 9032014758, 148 clinicians

Practice addresses (Care Compare)

15 Riverside Ave
Bristol, CT 06010-6312
Phone (860) 585-3333

41 Brewster Rd
Bristol, CT 06010-5161
Phone (860) 585-3000

Hospital & facility affiliations

  • Bristol Hospital Home Care Agency Home health agency, Bristol, CT, CCN 077198
  • Bristol Hospital Hospital, Bristol, CT, CCN 070029

Merit-based Incentive Payment System (MIPS)

Final score
54.86 of 100Reported as group
Quality
11.77
Promoting interoperability
98
Improvement activities
0
Cost
73.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue244
Removal of nail tissue79
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD.0000885COMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Hospital Multi Specialty Group, Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

15 Riverside Ave
Bristol, CT 06010
Phone (860) 516-7593

36 Whiting St
Plainville, CT 06062
Phone (860) 747-4377

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 2

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1972090850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 N 8TH ST STE 206",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018858",
            "telephone_number": "970-245-3338",
            "fax_number": "970-245-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 N 8TH ST STE 206",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018858",
            "telephone_number": "970-361-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUN",
        "first_name": "DU",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "POD.0000885",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.