Individual provider Active NPI

Stanislav M Poliashenko, M.D.

  • Diagnostic Radiology Physician
  • Englewood, CO
National Provider Identifier
1992149835
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
61493 Issued in CO
Practice address
10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Phone
(303) 761-9190
Fax
(720) 874-4462
NPI assigned
Apr 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6240 GA
Diagnostic Radiology Physician 2085R0202X 61493 CO Primary

Addresses

Primary practice location

10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895

Mailing address

10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Phone (303) 761-9190

Other practice location 1

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-0263

Other identifiers 9

IdentifierTypeStateIssuer
832218OtherCOMEDICARE
NA1214147OtherNEMEDICARE
832216OtherCOMEDICARE
832219OtherCOMEDICARE
9000170766MedicaidCO
111257135OtherKSMEDICARE
KA3249126OtherKSMEDICARE
NA2517124OtherNEMEDICARE
NA1215148OtherNEMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NE, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190724001738 KS Practitioner - Diagnostic Radiology 4688977432 Reassigns benefits to 1 organization
I20190802000069 NE Practitioner - Diagnostic Radiology 4688977432 Reassigns benefits to 2 organizations
I20190802001223 CO Practitioner - Diagnostic Radiology 4688977432 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Radiologic Associates LTDGroup PAC ID 0941190953, 91 clinicians
Radiology Imaging Associates PCGroup PAC ID 2860391257, 147 clinicians
National Jewish HealthGroup PAC ID 4587577028, 244 clinicians
Banner Imaging Services Colorado LLCGroup PAC ID 7416377270, 90 clinicians
Gunnison Valley HospitalGroup PAC ID 8426040486, 81 clinicians
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians

Practice addresses (Care Compare)

10700 E Geddes Ave
Suite 200
Englewood, CO 80112-3861
Phone (303) 761-9190

10800 E Geddes Ave
Suite 300
Englewood, CO 80112-3895
Phone (303) 761-9190

1400 Jackson St
Denver, CO 80206-2761
Phone (303) 398-1355

1900 Boise Ave
Suite 110
Loveland, CO 80538-5004
Phone (970) 810-6070

2555 E 13TH St
Suite 100
Loveland, CO 80537-5134
Phone (970) 810-6070

3001 Ave a
Dodge City, KS 67801-2270
Phone (620) 225-8400

4021 Ave B
Scottsbluff, NE 69361-4602
Phone (308) 635-3711

711 N Taylor St
Gunnison, CO 81230-2208
Phone (970) 641-1456

875 W 136TH Ave
100 Uchealth Imaging SVCS Broomfield
Broomfield, CO 80023-9303
Phone (303) 457-7700

9051 SSG Chris Falkel Dr
Suite 100
Highlands Ranch, CO 80129-3189
Phone (720) 516-0683

Hospital & facility affiliations

  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • 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

Merit-based Incentive Payment System (MIPS)

Final score
43.24 of 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
69.37
Promoting interoperability
100
Improvement activities
40
Cost
65.17

Merit-based Incentive Payment System (MIPS)

Final score
70.7 of 100Reported as group
Quality
65.53
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6240GAMDInternal Medicine Physician
61493COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jan 5, 2026 Accepting new patients
National Jewish Health CurrentSince Sep 1, 2019 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Jul 1, 2019 Accepting new patients
Radiology Imaging Associates, PC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Jul 1, 2019 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Uchealth Imaging Services LLC Diagnostic Radiology CurrentSince Jan 5, 2026 Accepting new patients
Hawaii Radiologic Associates, LTD. Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Garden City Diagnostics LLC CurrentSince Feb 22, 2021 Accepting new patients
Banner Imaging Services Colorado LLC CurrentSince Oct 1, 2020 Accepting new patients
Banner Imaging Services Colorado LLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Dodge City Diagnostic, LLC CurrentSince Jul 29, 2019 Accepting new patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients

Locations (25 of 28)

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

1400 S Potomac St
Ste 180
Aurora, CO 80012
Phone (303) 695-2603

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

9681 Prominent Pt
Ste 130
Colorado Springs, CO 80924
Phone (719) 600-3700

2055 N High St
Ste 180
Denver, CO 80205
Phone (303) 839-7490

1400 Jackson St
Denver, CO 80206
Phone (303) 388-4461

10700 E Geddes Ave
Ste 200
Englewood, CO 80112

701 E Hampden Ave
Ste 110
Englewood, CO 80113
Phone (303) 515-2023

10800 E Geddes Ave
Ste 300
Englewood, CO 80112
Phone (303) 791-9190

400 Indiana St
Ste 130
Golden, CO 80401
Phone (720) 493-3411

5351 S Roslyn St
Ste 200
Greenwood Village, CO 80111
Phone (303) 469-3182

8200 E Belleview Ave
Ste 200E
Greenwood Village, CO 80111
Phone (303) 850-3200

8200 E Belleview Ave
Ste 124C
Greenwood Village, CO 80111
Phone (720) 493-3272

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

6169 S Balsam Way
Ste 170
Littleton, CO 80123
Phone (303) 841-3100

8200 Southpark Ter
Littleton, CO 80120
Phone (720) 493-3251

10107 Ridgegate Pkwy
Ste 110
Lone Tree, CO 80124
Phone (720) 493-3539

10450 Park Meadows Dr
Ste 105
Lone Tree, CO 80124
Phone (303) 925-0075

1900 Boise Ave
Ste 110
Loveland, CO 80538
Phone (970) 810-6070

2555 E 13th St
Ste 100
Loveland, CO 80537
Phone (970) 461-6193

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

12219 Pine Bluffs Way
Ste 111
Parker, CO 80134

670 Ponahawai St
Ste 110
Hilo, HI 96720
Phone (808) 933-2540

82 Puuhonu Pl
Ste 102
Hilo, HI 96720
Phone (808) 961-4745

75-5653 Kuakini Hwy
Ste 110
Kailua Kona, HI 96740
Phone (808) 329-7314

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1992149835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 E GEDDES AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123895",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 E GEDDES AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123895",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1364 Clifton Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221059",
            "country_code": "US",
            "telephone_number": "404-778-0263",
            "fax_number": "404-778-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLIASHENKO",
        "first_name": "STANISLAV",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "6240",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "61493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "832218",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NA1214147",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "832216",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "832219",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000170766",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "111257135",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "KA3249126",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NA2517124",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NA1215148",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.