Individual provider Active NPI

Timothy J Rodgers, M. D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Golden, CO
National Provider Identifier
1215939541
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
45729 Issued in CO
Practice address
5920 McIntyre St
Golden, CO 80403-7445
Phone
(303) 949-1250
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 45729 CO Primary

Addresses

Primary practice location

5920 McIntyre St
Golden, CO 80403-7445

Mailing address

5920 McIntyre St
Golden, CO 80403-7445
Phone (303) 949-1250

Other identifiers 1

IdentifierTypeStateIssuer
42456363MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070919000994 CO Practitioner - Internal Medicine 8921192089 Reassigns benefits to 1 organization
I20200804001775 NM Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8921192089 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Pac Services PC CurrentSince Aug 3, 2020 Accepting new patients
CS Pacs 3 West LLC CurrentSince Aug 1, 2024 Accepting new patients
Ipc Hospitalists of New Mexico, Inc CurrentSince Mar 1, 2021 Accepting new patients
NM Pacs 2 LLC CurrentSince Aug 3, 2020 Accepting new patients
Meadows Family Medical Center Inc CurrentSince Aug 18, 2014 Accepting new patients
Inpatient Consultants of Colorado PC Past Accepting new patients
Diamond Care Santa Fe LLC Past Accepting new patients
Senior Care of Colorado, PC Geriatric Medicine PastSince Sep 1, 2010 Accepting new patients
Inpatient Consultants of Colorado, PC Past Accepting new patients

Locations

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

5920 McIntyre St
Golden, CO 80403
Phone (303) 949-1250

5920 McIntyre St
Ste 101
Golden, CO 80403
Phone (303) 949-1250

11166 Huron St
Ste 27
Northglenn, CO 80234
Phone (303) 425-5536

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

7900 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 296-5565

7208 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 821-1200

504 Elm St NE
Albuquerque, NM 87102
Phone (505) 724-2000

3025 Terrace Dr
Las Cruces, NM 88011
Phone (575) 522-1362

Organizations & group practices 9

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1215939541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 MCINTYRE ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804037445",
            "telephone_number": "303-949-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 MCINTYRE ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804037445",
            "telephone_number": "303-949-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "45729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42456363",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.