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Individual provider Active NPI

Philip J Rosenblum, MD

  • Family Medicine Physician
  • Thornton, CO
National Provider Identifier
1295732022
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36004 Issued in CO
Practice address
3655 E 104TH Ave
Suite a
Thornton, CO 80233-4469
Phone
(303) 254-8500
Fax
(303) 453-1819
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36004 CO Primary

Addresses

Primary practice location

3655 E 104TH Ave
Suite a
Thornton, CO 80233-4469

Mailing address

3655 E 104TH Ave
Suite a
Thornton, CO 80233-4469
Phone (303) 254-8500

Other identifiers 1

IdentifierTypeStateIssuer
69954313MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000286 CO Practitioner - Family Practice 2860383759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albert Einstein College of Medicine of Yeshiva University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alpine Medical Group Colorado PLLCGroup PAC ID 1759743347, 101 clinicians

Practice addresses (Care Compare)

10081 Wadsworth Pkwy
Suite 200
Westminster, CO 80021-3827
Phone (303) 431-5409

Hospital & facility affiliations

  • HCA Healthone Mountain Ridge Hospital, Thornton, CO, CCN 060065
  • Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009
  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104
  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36004COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Family Medicine Family Medicine CurrentSince Jun 1, 1989 Accepting new patients
Arbor Family Medicine Family Medicine CurrentSince Jun 1, 1989 Accepting new patients
Alpine Medical Group Colorado PLLC Family Medicine CurrentSince Nov 1, 2024 Accepting new patients

Locations

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

3655 E 104th Ave
Thornton, CO 80233
Phone (303) 254-8500

3655 E 104th Ave
Unit A
Thornton, CO 80233
Phone (303) 254-8500

10081 Wadsworth Pkwy
Ste 200
Westminster, CO 80021
Phone (303) 431-5409

Interoperability endpoints

  • Direct secure messaging: philiprosenblum@arborfamii.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1295732022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 E 104TH AVE",
            "address_2": "SUITE A",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334469",
            "telephone_number": "303-254-8500",
            "fax_number": "303-453-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 E 104TH AVE",
            "address_2": "SUITE A",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334469",
            "telephone_number": "303-254-8500",
            "fax_number": "303-453-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "PHILIP",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "36004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69954313",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.