Individual provider Active NPI

Roberto R Spencer, M.D.

  • Diagnostic Radiology Physician
  • Lakewood, CO
National Provider Identifier
1225007446
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
38428 Issued in CO
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

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300112303OtherCORAILROAD MEDICARE
58925767MedicaidCO

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38428COMDDiagnostic Radiology Physician
82-314NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.