Active NPI
Roberto R Spencer, M.D.
- Diagnostic Radiology Physician
- Lakewood, CO
National Provider Identifier
1225007446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 38428
- Practice address
- 12687 W Cedar Dr
200
Lakewood, CO 80228-2010 - Phone
- (303) 468-1395
- Fax
- (303) 468-1394
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 38428 | CO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 82-314 | NM |
Addresses
Primary practice location
12687 W Cedar Dr
200
Lakewood, CO 80228-2010
Mailing address
1052 Sleepy Hollow Rd
Golden, CO 80401-8037
Phone (303) 468-1395
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300112303 | Other | CO | RAILROAD MEDICARE |
| 58925767 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38428 | CO | MD | Diagnostic Radiology Physician |
| 82-314 | NM | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Schryver LLC | Past | Accepting new patients | |
| Rural Radiology Associates Taos | Diagnostic Radiology | Past | Accepting new patients |
| Medical Imaging Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Denver NMR, Inc | Past | Accepting new patients | |
| Mrigp Inc | Past | Accepting new patients | |
| Colorado Imaging Associates P C | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1255306726
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Denver, CO
- NPI 1699747857
-
- Specialist
- Denver, CO
- NPI 1417909235
-
- Diagnostic Radiology Physician
- Scottsbluff, NE
- NPI 1134173685
-
- Clinical Medical Laboratory
- Carrollton, TX
- NPI 1689025116
-
- Diagnostic Radiology Physician
- Taos, NM
- NPI 1477788644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1225007446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1052 SLEEPY HOLLOW RD",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804018037",
"telephone_number": "303-468-1395",
"fax_number": "303-468-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12687 W CEDAR DR",
"address_2": "200",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802282010",
"telephone_number": "303-468-1395",
"fax_number": "303-468-1394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "ROBERTO",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "38428",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "82-314",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300112303",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58925767",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.