Individual provider Active NPI

Robert P Allen, MD

  • Vascular & Interventional Radiology Physician
  • Denver, CO
National Provider Identifier
1295795169
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
26785 Issued in CO
Practice address
210 University Blvd
Ste 102, Radiology Specialists of Denver
Denver, CO 80206
Phone
(720) 941-7000
Fax
(720) 941-7070
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 26785 CO Primary

Addresses

Primary practice location

210 University Blvd
Ste 102, Radiology Specialists of Denver
Denver, CO 80206

Mailing address

210 University Blvd
Ste 102, Radiology Specialists of Denver
Denver, CO 80206
Phone (720) 941-7000

Other identifiers 8

IdentifierTypeStateIssuer
2233054OtherAETNAM HMO
841522556009OtherRMHMO
841522556OtherWORKERS COMP
RA362108OtherBCBS
4233192OtherAETNA PPO
84152255601OtherPACIFICARE
300107214OtherRR MED B
01267855MedicaidCO

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
I20041124000197 CO Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6204732050 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26785COMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Jun 17, 2004 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jun 17, 2004 Accepting new patients
Orthopaedic and Extremity Specialists Medical Group Inc Past Accepting new patients
Orthopaedic Institute Medical Group Inc PastSince Mar 1, 2008 Accepting new patients

Locations

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

777 Bannock St
Denver, CO 80204

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1295795169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 UNIVERSITY BLVD",
            "address_2": "STE 102, RADIOLOGY SPECIALISTS OF DENVER",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80206",
            "telephone_number": "720-941-7000",
            "fax_number": "720-941-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 UNIVERSITY BLVD",
            "address_2": "STE 102, RADIOLOGY SPECIALISTS OF DENVER",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80206",
            "telephone_number": "720-941-7000",
            "fax_number": "720-941-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "26785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNAM HMO",
            "identifier": "2233054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMHMO",
            "identifier": "841522556009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "841522556",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "RA362108",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4233192",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "84152255601",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MED B",
            "identifier": "300107214",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01267855",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.