Individual provider Active NPI

Jeffrey J Rockwell, MD

  • Anesthesiology Physician
  • Edwards, CO
National Provider Identifier
1336109420
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DR0060456 Issued in CO
Practice address
320 Beard Creek Road
Suite 100
Edwards, CO 81632-6426
Phone
(970) 569-7400
Fax
(817) 877-0350
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X K1027 TX
Anesthesiology Physician 207L00000X DR0060456 CO Primary

Addresses

Primary practice location

320 Beard Creek Road
Suite 100
Edwards, CO 81632-6426

Mailing address

PO Box 913001
Denver, CO 80291-3001
Phone (817) 334-0530

Other identifiers 1

IdentifierTypeStateIssuer
103440701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101123000566 TX Practitioner - Anesthesiology 3274729769 Reassigns benefits to 1 organization
I20181220002266 CO Practitioner - Anesthesiology 3274729769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Arizona College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Partners of ColoradoGroup PAC ID 0345520151, 99 clinicians

Practice addresses (Care Compare)

181 W Meadow Dr
Vail, CO 81657-5078
Phone (970) 476-2451

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Anesthesiology Group, PLLC Anesthesiology CurrentSince Jun 26, 1996 Accepting new patients
Austin Anesthesiology Group PLLC Anesthesiology CurrentSince Jun 26, 1996 Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

8140 N Mopac Expy
Bldg 3
Austin, TX 78759
Phone (512) 343-2292

8140 N Mopac Expy
#3
Austin, TX 78759
Phone (512) 343-2292

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 5

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

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": "1546992000000",
    "number": "1336109420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 913001",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802913001",
            "telephone_number": "817-334-0530",
            "fax_number": "817-877-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BEARD CREEK ROAD",
            "address_2": "SUITE 100",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816326426",
            "telephone_number": "970-569-7400",
            "fax_number": "817-877-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKWELL",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K1027",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR0060456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103440701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

Verify at the official NPI Registry.