Individual provider Active NPI

Bobbie Jo Livingston, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Aurora, CO
National Provider Identifier
1336268010
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
24828 Issued in CO
Practice address
3025 S Parker Rd
Suite 100
Aurora, CO 80014-2914
Phone
(303) 481-7030
Fax
(303) 745-7665
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 24828 CO Primary

Addresses

Primary practice location

3025 S Parker Rd
Suite 100
Aurora, CO 80014-2914

Mailing address

3025 S Parker Rd
Suite 100
Aurora, CO 80014-2914
Phone (303) 481-7030

Other identifiers 2

IdentifierTypeStateIssuer
24828OtherCOLICENSE
01248285MedicaidCO

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
I20071127000637 CO Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4385546241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Colorado School of Medicine, Denver, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Preferred Provider Services, LLCGroup PAC ID 1951565647, 5 clinicians

Practice addresses (Care Compare)

3025 S Parker Rd
Suite 100
Aurora, CO 80014-2914
Phone (303) 481-7030

Hospital & facility affiliations

  • Sacred Passage Hospice Hospice, Aurora, CO, CCN 061591

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24828COMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Provider Services, LLC Geriatric Medicine CurrentSince Jan 1, 2012 Accepting new patients
Mobile Physician Network, LLC Geriatric Medicine PastSince Dec 5, 2015 Accepting new patients
Preferred Provider Services Geriatric Medicine PastSince Oct 29, 2007 Accepting new patients

Locations

3025 S Parker Rd
Ste 100
Aurora, CO 80014
Phone (303) 481-7030

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 1

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1336268010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 S PARKER RD",
            "address_2": "SUITE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142914",
            "telephone_number": "303-481-7030",
            "fax_number": "303-745-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 S PARKER RD",
            "address_2": "SUITE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142914",
            "telephone_number": "303-481-7030",
            "fax_number": "303-745-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "BOBBIE",
        "middle_name": "JO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "24828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "24828",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01248285",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.