Individual provider Active NPI

Chester Thomas Roe III, M.D.

  • Ophthalmology Physician
  • Denver, CO
National Provider Identifier
1114997913
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
24061 Issued in CO
Practice address
4999 E Kentucky Ave
Suite 203
Denver, CO 80246-3901
Phone
(303) 758-5477
Fax
(303) 758-3069
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 24061 CO Primary

Addresses

Primary practice location

4999 E Kentucky Ave
Suite 203
Denver, CO 80246-3901

Mailing address

4999 E Kentucky Ave
Suite 203
Denver, CO 80246-3901
Phone (303) 758-5477

Other identifiers 1

IdentifierTypeStateIssuer
01240613MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110225000804 CO Practitioner - Ophthalmology 3971713090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chester T Roe III MD L L CGroup PAC ID 4880660422, 2 clinicians

Practice addresses (Care Compare)

4999 E Kentucky Ave
Suite 203
Denver, CO 80246-2281
Phone (303) 758-5477

Merit-based Incentive Payment System (MIPS)

Final score
99.25 of 100Reported as group
Quality
88.49
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24061COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chester T Roe III MD L L C Ophthalmology CurrentSince May 1, 2000 Accepting new patients

Locations

4999 E Kentucky Ave
Denver, CO 80246
Phone (303) 691-0777

4999 E Kentucky Ave
Ste 203
Denver, CO 80246
Phone (303) 758-5477

Interoperability endpoints

  • Direct secure messaging: ctroe@ctroe.imwdirect.com

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1114997913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 E KENTUCKY AVE",
            "address_2": "SUITE 203",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463901",
            "telephone_number": "303-758-5477",
            "fax_number": "303-758-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 E KENTUCKY AVE",
            "address_2": "SUITE 203",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463901",
            "telephone_number": "303-758-5477",
            "fax_number": "303-758-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "CHESTER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "24061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01240613",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.