Active NPI
Stanislav M Poliashenko, M.D.
- Diagnostic Radiology Physician
- Englewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 61493
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 832218 | Other | CO | MEDICARE |
| NA1214147 | Other | NE | MEDICARE |
| 832216 | Other | CO | MEDICARE |
| 832219 | Other | CO | MEDICARE |
| 9000170766 | Medicaid | CO | |
| 111257135 | Other | KS | MEDICARE |
| KA3249126 | Other | KS | MEDICARE |
| NA2517124 | Other | NE | MEDICARE |
| NA1215148 | Other | NE | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, NE, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- AdventHealth Littleton
- HCA-Healthone Dba Swedish Medical Center
- Adventhealth Castle Rock
- Adventhealth Avista
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.24 of 100
- Quality
- 73.53
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 70.6
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.14 of 100
- Quality
- 83.98
- Improvement activities
- 40
- Cost
- 76.51
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 69.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.17
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.7 of 100
- Quality
- 65.53
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.5 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6240 | GA | MD | Internal Medicine Physician |
| 61493 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| National Jewish Health | Current | Accepting new patients | |
| Gunnison Valley Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Orthopedic Centers of Colorado, LLC | Current | Accepting new patients | |
| Radiology Imaging Associates, PC | Diagnostic Radiology | Current | Accepting new patients |
| Orthopedic Centers of Colorado, LLC | Current | Accepting new patients | |
| Gunnison Valley Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Uchealth Imaging Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Hawaii Radiologic Associates, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| Garden City Diagnostics LLC | Current | Accepting new patients | |
| Banner Imaging Services Colorado LLC | Current | Accepting new patients | |
| Banner Imaging Services Colorado LLC | Diagnostic Radiology | Current | Accepting new patients |
| Dodge City Diagnostic, LLC | Current | Accepting new patients | |
| Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Loveland, CO
- NPI 1326674979
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1336188234
-
- General Acute Care Hospital
- Denver, CO
- NPI 1326015777
-
- Diagnostic Radiology Physician
- Broomfield, CO
- NPI 1396210902
-
- Orthopaedic Surgery Physician
- Denver, CO
- NPI 1801339502
-
- Orthopaedic Surgery Physician
- Superior, CO
- NPI 1336870856
-
- Radiology Clinic/Center
- Denver, CO
- NPI 1396368254
Diagnostic Radiology
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, CO
- NPI 1396790200
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1003456534
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1083461438
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1184264798
-
- General Acute Care Hospital
- Castle Rock, CO
- NPI 1215824180
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1265072706
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1275380610
-
- General Acute Care Hospital
- Parker, CO
- NPI 1386651297
-
- General Acute Care Hospital
- Parker, CO
- NPI 1457148140
-
- General Acute Care Hospital
- Littleton, CO
- NPI 1528608056
-
- Emergency Care Clinic/Center
- Littleton, CO
- NPI 1548800154
Hospital
-
- General Acute Care Hospital
- Littleton, CO
- NPI 1689688988
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; 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.