Individual provider Active NPI

Shawna L De Graff Roberson, D.O.

  • Internal Medicine Physician
  • Broomfield, CO
National Provider Identifier
1265823256
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0055204 Issued in CO
Practice address
340 E 1St Ave Ste 102
Broomfield, CO 80020-2454
Phone
(720) 798-0170
NPI assigned
Feb 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0055204 CO Primary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS13425 FL

Addresses

Primary practice location

340 E 1St Ave Ste 102
Broomfield, CO 80020-2454

Mailing address

1805 Shea Center Dr Ste 450
Highlands Ranch, CO 80129-2255
Phone (303) 357-2559

Other practice location 1

7950 Kipling St Ste 101
Arvada, CO 80005-3925
Phone (303) 425-4680

Other practice location 2

11310 Huron St Ste 100
Northglenn, CO 80234-3090
Phone (303) 450-7435

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
I20150805006869 CO Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 1557675576 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Osteopathic Manipulative Medicine
Education
Nova Southeastern Univ College of Dental Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onpoint Medical Group LLCGroup PAC ID 0143598458, 93 clinicians

Practice addresses (Care Compare)

340 E 1St Ave
Suite 102
Broomfield, CO 80020-2454
Phone (303) 357-2559

Merit-based Incentive Payment System (MIPS)

Final score
60.74 of 100Reported as group
Quality
77.46
Promoting interoperability
0
Improvement activities
40
Cost
75.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS13425FLMDNeuromusculoskeletal Medicine & OMM Physician
DR.0055204COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Colorado Medical Group LLC Current Accepting new patients
Onpoint Medical Group, LLC Internal Medicine Current Accepting new patients
Onpoint Medical Group, LLC CurrentSince Oct 1, 2024 Accepting new patients
Pahs Onpoint Urgent Care LLC Current Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Mar 1, 2024 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Mar 1, 2024 Accepting new patients
New West Physicians Inc Internal Medicine CurrentSince Aug 25, 2022 Accepting new patients
Onpoint Medical Group, LLC CurrentSince Oct 1, 2024 Accepting new patients
Onpoint Medical Group, LLC Internal Medicine Past Accepting new patients
Onpoint Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

12001 W 63rd Pl
Ste 1
Arvada, CO 80004
Phone (720) 840-9187

7950 Kipling St
Ste 101
Arvada, CO 80005
Phone (303) 425-4680

12001 W 63rd Pl
Ste 3
Arvada, CO 80004

12001 W 63rd Pl
Arvada, CO 80004
Phone (303) 423-1360

340 E 1st Ave
Ste 102
Broomfield, CO 80020
Phone (303) 469-3182

2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

1805 Shea Center Dr
Ste 450
Highlands Ranch, CO 80129

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

7335 S Pierce St
Littleton, CO 80128
Phone (303) 932-1919

Interoperability endpoints

  • Direct secure messaging: shawna.de.graff-roberson.1@9821.direct.athenahealth.com

Organizations & group practices 10

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": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1265823256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 450",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292255",
            "telephone_number": "303-357-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 1ST AVE STE 102",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202454",
            "telephone_number": "720-798-0170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7950 Kipling St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800053925",
            "country_code": "US",
            "telephone_number": "303-425-4680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11310 Huron St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Northglenn",
            "state": "CO",
            "postal_code": "802343090",
            "country_code": "US",
            "telephone_number": "303-450-7435",
            "fax_number": "303-450-7463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE GRAFF ROBERSON",
        "first_name": "SHAWNA",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0055204",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS13425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.