Individual provider Active NPI

Robert A. Rota, CRNA

  • Certified Registered Nurse Anesthetist
  • Colorado Springs, CO
National Provider Identifier
1013939412
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN-64882 Issued in CO
Practice address
320 E Fontanero St
Ste 101
Colorado Springs, CO 80907-7529
Phone
(719) 227-9711
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN-64882 CO Primary

Addresses

Primary practice location

320 E Fontanero St
Ste 101
Colorado Springs, CO 80907-7529

Mailing address

320 E Fontanero St
Ste 101
Colorado Springs, CO 80907-7529
Phone (719) 227-9711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120314000261 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032005038 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-64882COMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince May 15, 1994 Accepting new patients

Locations

8585 Criterion Dr
Unit 62158
Colorado Spgs, CO 80962

2485 E Pikes Peak Ave
Colorado Springs, CO 80909
Phone (719) 328-0003

320 E Fontanero St
Ste 101
Colorado Springs, CO 80907
Phone (719) 227-9711

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013939412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E FONTANERO ST",
            "address_2": "STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077529",
            "telephone_number": "719-227-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E FONTANERO ST",
            "address_2": "STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077529",
            "telephone_number": "719-227-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTA",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "RN-64882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.