JACOB AZURDIA (MD) – Diagnostic Radiology Physician, NPI 1457771909
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
47 INTERVENTIONAL RADIOLOGY in ID
Provider Addresses for JACOB AZURDIA (MD)
1652 UTICA ST
DENVER, CO 802041240
Phone: (260) 450-2305
Type: Mailing
25 Jacobs Gulch Rd
Kellogg, ID 838372023
Phone: (208) 784-1221
Fax: (208) 784-0961
Type: Location
PO BOX 110429
AURORA, CO 800420429
Phone:
Type: Mailing
12605 E 16TH AVE
AURORA, CO 800452545
Phone: (720) 848-0000
Type: Location
700 W Ironwood Dr Ste 175
Coeur D Alene, ID 838144401
Phone: (208) 625-6300
Type: Location
2008 CARIBOU DR
FORT COLLINS, CO 805254325
Phone: (970) 484-4757
Fax: (970) 484-4759
Type: Mailing
1024 S LEMAY AVE
FORT COLLINS, CO 805243929
Phone: (970) 495-7000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-21
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200619000043 | I | Diagnostic Radiology | CO | TBD |
| I20251021003699 | I | Diagnostic Radiology | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 593 | 569 | $0 |
| 70450 | Ct scan head or brain without contrast | 350 | 341 | $0 |
| 71046 | X-ray of chest, 2 views | 262 | 258 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 218 | 213 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 136 | 136 | $0 |
Insurance plans in this area (ZIP 80204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | ID | |
| Diagnostic Radiology | ID | |
| Emergency Medicine | ID | |
| Clinical Social Worker | ID | |
| Internal Medicine | ID | |
| - | ID | |
| Family Practice | ID | |
| Nurse Practitioner | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID |
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