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

Individual provider Diagnostic Radiology Physician · NPI 1104938208

Todd Lane Kooy, MD is an Interventional Radiology in Englewood, Colorado. Graduated from University of Washington School of Medicine in 2001, 25 years ago. Practices with Hawaii Radiologic Associates Ltd, a 90-clinician group and accepts Medicare assignment. Licensed in Colorado, Hawaii, Kansas and Nebraska and 1 more.

Years since qualifying
25
Trained at
University of Washington School of Medicine
Licensed in
CO, HI, KS, NE, WA
In the registry since
2006
Specialties on file
6
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

10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Phone: (303) 761-9190
Fax: (720) 874-4462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence DR.0050665 (CO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 26523 (NE)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 04-36314 (KS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 50665 (CO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD17508 (HI)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD00046721 (WA)

Record details

NPI number1104938208
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024
Mailing address10800 E Geddes Ave Ste 300, Englewood, CO 80112-3895

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Hawaii Radiologic Associates Ltd — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations19 on file with Medicare

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