Active NPI
Charles Peter Rogers, MD FACC
- Cardiovascular Disease Physician
- Longmont, CO
National Provider Identifier
1275545147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 38114
- Practice address
- 2101 Ken Pratt Blvd Ste 104
Longmont, CO 80501-6568 - Phone
- (303) 442-2395
- Fax
- (303) 442-1073
- NPI assigned
- Aug 12, 2006
- Last updated
- Oct 24, 2018
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DR.0038114 | CO | |
| Cardiovascular Disease Physician | 207RC0000X | 38114 | CO | Primary |
Addresses
Primary practice location
2101 Ken Pratt Blvd Ste 104
Longmont, CO 80501-6568
Mailing address
5450 Western Ave Ste B
Boulder, CO 80301-2709
Phone (303) 442-2395
Other practice location 1
4743 Arapahoe Ave Ste 201
Boulder, CO 80303-1128
Phone (303) 442-2395
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38114 | CO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Ekg | Internal Medicine | Past | Accepting new patients |
| Longmont United Hospital | Past | Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Community Medical Associates of BCH
- Medical Specialty Clinic/Center
- Boulder, CO
- NPI 1407685498
-
dba Community Medical Associates of BCH
- Multi-Specialty Clinic/Center
- Boulder, CO
- NPI 1609822030
-
- General Acute Care Hospital
- Longmont, CO
- NPI 1366465866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1275545147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 WESTERN AVE STE B",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012709",
"telephone_number": "303-442-2395",
"fax_number": "303-442-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 KEN PRATT BLVD STE 104",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805016568",
"telephone_number": "303-442-2395",
"fax_number": "303-442-1073"
}
],
"practiceLocations": [
{
"address_1": "4743 Arapahoe Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803031128",
"country_code": "US",
"telephone_number": "303-442-2395",
"fax_number": "303-442-1073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "CHARLES",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "MD FACC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0038114",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CO",
"license": "38114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.