Active NPI
Joel Roberts, M.D.
- General Practice Physician
- Longmont, CO
National Provider Identifier
1093194755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- DR.0060952
- Practice address
- 1351 Collyer St
Longmont, CO 80501 - Phone
- (303) 776-7117
- NPI assigned
- May 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | DR.0060952 | CO | Primary |
Addresses
Primary practice location
1351 Collyer St
Longmont, CO 80501
Mailing address
8401 S Chambers Rd
Parker, CO 80134-9498
Phone (303) 373-2008
Other practice location 1
13001 E 17th Pl
Aurora, CO 80045-2570
Phone (303) 724-1758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0060952 | CO | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Vista Health Center LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8078/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- Englewood, CO
- NPI 1366606709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1093194755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 S CHAMBERS RD",
"city": "PARKER",
"state": "CO",
"postal_code": "801349498",
"telephone_number": "303-373-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 COLLYER ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "80501",
"telephone_number": "303-776-7117"
}
],
"practiceLocations": [
{
"address_1": "13001 E 17th Pl",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452570",
"country_code": "US",
"telephone_number": "303-724-1758",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "JOEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-27",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "DR.0060952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.