Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jered Nystrom, MD

Individual provider Nuclear Radiology Physician · NPI 1366903726

Dr. Jered Nystrom, MD is a Diagnostic Radiology in Aurora, Colorado. Graduated from University of Wisconsin School of Medicine in 2019, 7 years ago. Practices with Denver Health and Hospital Authority, a 829-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Trained at
University of Wisconsin School of Medicine
Licensed in
CO
In the registry since
2019
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12605 E 16th Ave
Aurora, CO 80045-2545
Phone: (720) 848-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 12401 E 17th Ave, Aurora, CO 80045-2548 — (720) 848-0000
  • 100 Cook St Ste 100, Denver, CO 80206-5327 — (720) 516-9420

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence DR.0073070 (CO)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence DR.0073070 (CO)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence DR.0073070 (CO)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence DR.0073070 (CO)

Record details

NPI number1366903726
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025
Mailing addressPo Box 110429, Aurora, CO 80042-0429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY, NUCLEAR MEDICINE, PEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Denver Health And Hospital Authority — 829 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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