Individual provider Active NPI

Darren J Roth, PA-C

  • Physician Assistant
  • Thornton, CO
National Provider Identifier
1164689519
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0002769 Issued in CO
Practice address
8990 Washington St
Thornton, CO 80229-4537
Phone
(303) 665-3036
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.0002769 CO
Physician Assistant 363A00000X PA.0002769 CO Primary

Addresses

Primary practice location

8990 Washington St
Thornton, CO 80229-4537

Mailing address

PO Box 801106
Kansas City, MO 64180-1106
Phone (800) 953-0104

Other practice location 1

425 S Cherry St Ste 410
Glendale, CO 80246-1231
Phone (303) 333-3388

Other identifiers 1

IdentifierTypeStateIssuer
12025534MedicaidCO

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141103000110 CO Practitioner - Physician Assistant 3476774647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Primary Care , PCGroup PAC ID 3779471677, 38 clinicians

Practice addresses (Care Compare)

3520 W 92ND Ave
Suite 104
Westminster, CO 80031-3304
Phone (303) 429-6600

7625 W 92ND Ave
Westminster, CO 80021-4567
Phone (303) 650-3427

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0002769COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Feb 1, 2022 Accepting new patients
SCL Physicians - RMPC LLC CurrentSince Nov 14, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Feb 1, 2022 Accepting new patients

Locations

5730 Ward Rd
Ste 102
Arvada, CO 80002
Phone (303) 422-6331

425 S Cherry St
Ste 410
Glendale, CO 80246
Phone (303) 333-3388

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

3520 W 92nd Ave
Ste 104
Westminster, CO 80031
Phone (303) 429-6600

7625 W 92nd Ave
Westminster, CO 80021
Phone (303) 252-7790

Interoperability endpoints

  • Direct secure messaging: darren.roth.1@15135.direct.athenahealth.com

Organizations & group practices 4

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1164689519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801106",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801106",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8990 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294537",
            "telephone_number": "303-665-3036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 S Cherry St Ste 410",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CO",
            "postal_code": "802461231",
            "country_code": "US",
            "telephone_number": "303-333-3388",
            "fax_number": "303-333-5094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "DARREN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0002769",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0002769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12025534",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.