Kathleen Diane Roman, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

DR.0047727 Issued in CO

Practice address

3702 Automation Way Ste 103
Fort Collins, CO 80525-5738

Phone

(970) 224-2985

Fax

(970) 223-1118

NPI assigned

Apr 7, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Kathleen Diane Ryan Former name

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

Specialty

Anesthesiology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elk River Anesthesia Associates, P.C.Group PAC ID 5799753398, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uchealth Yampa Valley Medical Center Hospital, Steamboat Springs, CO, CCN 060049

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Elk River Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Steamboat Springs, CO
  • NPI 1144311747
  Medicare reassignment Care Compare group NPD
• Northern Colorado Anesthesia Professionals PLLC

  • Anesthesiology Physician
  • Fort Collins, CO
  • NPI 1851389613
  Medicare reassignment NPD

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

• Yampa Valley Medical Center

  dba UCHealth Yampa Valley Medical Center

  • General Acute Care Hospital
  • Oak Creek, CO
  • NPI 1164081345
  Care Compare affiliation
• Yampa Valley Medical Center

  • General Acute Care Hospital
  • Hayden, CO
  • NPI 1295394203
  Care Compare affiliation
• Yampa Valley Medical Center

  • General Acute Care Hospital
  • Steamboat Springs, CO
  • NPI 1790787307
  Care Compare affiliation

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1316180375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 AUTOMATION WAY STE 103",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255738",
            "telephone_number": "970-224-2985",
            "fax_number": "970-223-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 AUTOMATION WAY STE 103",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255738",
            "telephone_number": "970-224-2985",
            "fax_number": "970-223-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "KATHLEEN",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "25994",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0047727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71877525",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - RR",
            "identifier": "P00748258",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "RYAN",
            "middle_name": "DIANE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Rojas, OTR
• Natalie Rose Rolle, MOT OTR/L
• Michael David Roller, MD
• Kaylee Rom, LCSW
• Erin Romaine, HIS
• Hannah Gaebler Romano, NP-C
• Marie Romel Sr., MSW
• Alicia E Romero Carrasco
• Amy Kennedy Romero, PA-C
• Brittany Ann Romero, MA, LPC, NCC, CCTP

• Anesthesiology Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.

Verify at the official NPI Registry.