Individual provider Active NPI

Robin Maccoll Fennimore, MD

  • Hospitalist Physician
  • Denver, CO
National Provider Identifier
1245377522
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
48850 Issued in CO
Practice address
4500 E 9TH Ave
Ste 200
Denver, CO 80220-3911
Phone
(303) 399-0055
Fax
(303) 399-7764
NPI assigned
Jan 30, 2007
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 48850 CO
Obstetrics Physician 207VX0000X 48850 CO
Hospitalist Physician 208M00000X 48850 CO Primary

Addresses

Primary practice location

4500 E 9TH Ave
Ste 200
Denver, CO 80220-3911

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

2807 Roslyn St
Denver, CO 80238-2624
Phone (720) 848-0000

Other names 1

  • Cynthia Roberton Maccoll Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111001192 CO Practitioner - HospitalistPractitioner - Obstetrics/Gynecology 9032304399 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48850COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2014 Accepting new patients
Saint Joseph Hospital Inc Maternal & Fetal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Saint Joseph Hospital, Inc Obstetrics & Gynecology Current Accepting new patients
University Physicians, Incorporated CurrentSince May 12, 2023 Accepting new patients
University Physicians Incorporated Obstetrics & Gynecology CurrentSince May 12, 2023 Accepting new patients
Uptown Community Health Center Inc CurrentSince Nov 15, 2022 Accepting new patients
Uptown Community Health Center Inc Obstetrics & Gynecology CurrentSince Nov 15, 2022 Accepting new patients
University Physicians Incorporated Obstetrics & Gynecology Current Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

13123 E 16th Ave
Fl 4
Aurora, CO 80045
Phone (303) 724-6277

500 Eldorado Blvd
Ste 6250
Broomfield, CO 80021
Phone (303) 272-0750

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

1960 N Ogden St
Ste 340
Denver, CO 80218
Phone (303) 318-3816

1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500

4500 E 9th Ave
Ste 200
Denver, CO 80220
Phone (303) 399-0055

Dept 1061
Denver, CO 80256

Interoperability endpoints

  • Direct secure messaging: rfennimore59612@direct.intermountainhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1245377522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "address_2": "STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203911",
            "telephone_number": "303-399-0055",
            "fax_number": "303-399-7764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2807 Roslyn St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802382624",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENNIMORE",
        "first_name": "ROBIN",
        "middle_name": "MACCOLL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CO",
            "license": "48850",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CO",
            "license": "48850",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "48850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "MACCOLL",
            "middle_name": "ROBERTON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.