Individual provider Active NPI

Jonathan Paul Rosman, M.D.

  • Psychiatry Physician
  • Edwards, CO
National Provider Identifier
1114089224
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
42126 Issued in CO
Practice address
175 Main St Ste G-1
Edwards, CO 81632-8116
Phone
(970) 845-8059
Fax
(303) 284-7782
NPI assigned
Dec 14, 2006
Last updated
Oct 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 42126 CO
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 42126 CO
Forensic Psychiatry Physician 2084F0202X 42126 CO
Psychiatry Physician 2084P0800X 42126 CO Primary

Addresses

Primary practice location

175 Main St Ste G-1
Edwards, CO 81632-8116

Mailing address

PO Box 1830
Avon, CO 81620-1830
Phone (970) 845-8059

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 25, 2016 through Apr 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42126COMDSleep Medicine (Psychiatry & Neurology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1114089224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1830",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816201830",
            "telephone_number": "970-845-8059",
            "fax_number": "303-284-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MAIN ST STE G-1",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816328116",
            "telephone_number": "970-845-8059",
            "fax_number": "303-284-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSMAN",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CO",
            "license": "42126",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CO",
            "license": "42126",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CO",
            "license": "42126",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "42126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

Verify at the official NPI Registry.