NPIMap

Individual provider Active NPI

Sammie Roberts, MD

  • Dermatopathology (Pathology) Physician
  • Aurora, CO
National Provider Identifier
1144615295
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
DR.0064186 Issued in CO
Practice address
12605 E 16TH Ave
Aurora, CO 80045-2545
Phone
(303) 493-7000
NPI assigned
Apr 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X DR.0064186 CO Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X DR.0064186 CO

Addresses

Primary practice location

12605 E 16TH Ave
Aurora, CO 80045-2545

Mailing address

13001 E 17TH PL
University of Colorado School of Medicine Gme
Aurora, CO 80045-2570
Phone (303) 724-3483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, UT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200723002552 CO Practitioner - Pathology 5496076291 Reassigns benefits to 1 organization
I20250305003733 UT Practitioner - Pathology 5496076291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Colorado School of Medicine, Aurora, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain States Pathology PCGroup PAC ID 4284616293, 16 clinicians

Practice addresses (Care Compare)

1600 W Antelope Dr
Layton, UT 84041-1142
Phone (801) 807-1000

2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Phone (719) 776-5816

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0064186COMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain States Pathology PC Dermatopathology CurrentSince Nov 1, 2021 Accepting new patients
Mountain States Pathology PC Anatomic Pathology & Clinical Pathology CurrentSince Nov 1, 2021 Accepting new patients

Locations

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

5700 Southwyck Blvd
Toledo, OH 43614

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

Organizations & group practices 2

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1428105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1144615295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 E 17TH PL",
            "address_2": "UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452570",
            "telephone_number": "303-724-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452545",
            "telephone_number": "303-493-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SAMMIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-04",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CO",
            "license": "DR.0064186",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "DR.0064186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.