Active NPI
Shawna L De Graff Roberson, D.O.
- Internal Medicine Physician
- Broomfield, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DR.0055204
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal 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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OS13425 | FL | MD | Neuromusculoskeletal Medicine & OMM Physician |
| DR.0055204 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Onpoint Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Onpoint Medical Group, LLC | Current | Accepting new patients | |
| Pahs Onpoint Urgent Care LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| New West Physicians Inc | Internal Medicine | Current | Accepting new patients |
| Onpoint Medical Group, LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Denver, CO
- NPI 1629174826
-
- Internal Medicine Physician
- Golden, CO
- NPI 1427010859
-
- General Practice Physician
- Colorado Springs, CO
- NPI 1407252828
-
- Family Medicine Physician
- Littleton, CO
- NPI 1194406025
-
- Pediatrics Physician
- Lone Tree, CO
- NPI 1679813851
-
- Obstetrics & Gynecology Physician
- Colorado Springs, CO
- NPI 1881225175
-
- Rheumatology Physician
- Boulder, CO
- NPI 1922893478
-
- Urgent Care Clinic/Center
- Highlands Ranch, CO
- NPI 1811555022
-
- Internal Medicine Physician
- Broomfield, CO
- NPI 1255177085
-
- Internal Medicine Physician
- Highlands Ranch, CO
- NPI 1821413923
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.