Organization Active NPI

Rocky Mountain Pediatric Anesthesiology,PC

  • Anesthesiology Physician
  • Littleton, CO
National Provider Identifier
1063463248
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35876 Issued in CO
Legal business name
ROCKY MOUNTAIN PEDIATRIC ANESTHESIOLOGY,PC
Practice address
57 Wild Plum LN
Littleton, CO 80123-6617
Phone
(303) 921-4370
NPI assigned
May 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Beth KatubigNPI 1427007335
Title
Provider
Phone
(303) 921-4370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X 35876 CO Primary

Addresses

Primary practice location

57 Wild Plum LN
Littleton, CO 80123-6617

Mailing address

57 Wild Plum LN
Littleton, CO 80123-6617
Phone (970) 664-2497

Other identifiers 2

IdentifierTypeStateIssuer
01358761MedicaidCO
12538515MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040909000279 CO Part B Supplier - Clinic/Group Practice 0042286163 Receives reassigned benefits from 1 practitioner
Practice locations: Lone Tree, CO; Denver, CO; Highlands Ranch, CO; Aurora, CO

National Provider Directory

National Provider Directory

Locations

3464 S Willow St
Ste 95
Denver, CO 80231

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1063463248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WILD PLUM LN",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801236617",
            "telephone_number": "970-664-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 WILD PLUM LN",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801236617",
            "telephone_number": "303-921-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN PEDIATRIC ANESTHESIOLOGY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "KATUBIG",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "303-921-4370"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "35876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01358761",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12538515",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.