Active NPI
Austin Banning Derosa, M.D.
- Urology Physician
- Highlands Ranch, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- DR.0053887
- Practice address
- 1500 Park Central Dr
Highlands Ranch, CO 80129-6688 - Phone
- (303) 265-3940
- NPI assigned
- Jun 21, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | DR.0053887 | CO | Primary |
| Urology Physician | 208800000X | 35896 | SC |
Addresses
Primary practice location
1500 Park Central Dr
Highlands Ranch, CO 80129-6688
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000
Other practice location 2
2777 Mile High Stadium Cir
Denver, CO 80211-5222
Phone (303) 825-8822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140722001866 | CO | Practitioner - Urology | 7719127166 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Tulane University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000
Hospital & facility affiliations
- Uchealth Highlands Ranch Hospital
- University of Colorado Hospital Authority
- Uch-Memorial Health System
- Uchealth Broomfield Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0053887 | CO | MD | Urology Physician |
| 35896 | SC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| University Physicians, Incorporated | Current | Accepting new patients | |
| University Physicians Incorporated | Current | Accepting new patients | |
| Rocky Mountain Lithotripter LLC | Urology | Current | Accepting new patients |
Locations
12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
Dept 1061
Denver, CO 80256
777 Bannock St
Denver, CO 80204
3535 S Lafayette St
Ste 220
Englewood, CO 80113
Phone (303) 839-6060
1500 Park Central Dr
Ste 201
Highlands Ranch, CO 80129
Phone (720) 516-1094
1500 Park Central Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 265-3940
11 W Dry Creek Cir
Ste 210
Littleton, CO 80120
1500 Park Central Dr
Littleton, CO 80129
Phone (720) 516-1000
Organizations & group practices 5
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.
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
Hospital & facility affiliations 47
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1093976151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PARK CENTRAL DR",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801296688",
"telephone_number": "303-265-3940"
}
],
"practiceLocations": [
{
"address_1": "12605 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452545",
"country_code": "US",
"telephone_number": "720-848-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2777 Mile High Stadium Cir",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802115222",
"country_code": "US",
"telephone_number": "303-825-8822",
"fax_number": "303-825-4022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEROSA",
"first_name": "AUSTIN",
"middle_name": "BANNING",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-21",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CO",
"license": "DR.0053887",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "SC",
"license": "35896",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.