Individual provider Active NPI

Rohan Courtney Clarke, M.D.

  • Gastroenterology Physician
  • Lakewood, CO
National Provider Identifier
1336364041
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0062775 Issued in CO
Practice address
13952 Denver West Pkwy Ste 100
Lakewood, CO 80401-3141
Phone
(303) 604-5000
Fax
(720) 890-0364
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0062775 CO Primary

Addresses

Primary practice location

13952 Denver West Pkwy Ste 100
Lakewood, CO 80401-3141

Mailing address

382 S Arthur Ave
Louisville, CO 80027-3094
Phone (303) 604-5000

Other identifiers 1

IdentifierTypeStateIssuer
9000178012MedicaidCO

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
I20080501000475 TX Practitioner - Gastroenterology 0547349532 Reassigns benefits to 1 organization
Practice locations: Fort Worth, TX
I20191203000319 CO Practitioner - Gastroenterology 0547349532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1960 N Ogden St
Suite 210
Denver, CO 80218-3668
Phone (303) 604-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy91
Upper gastrointestinal (GI) endoscopy for acid reflux207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0062775COMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Valley Gastroenterology Inc. Gastroenterology CurrentSince Jan 1, 2020 Accepting new patients
Boulder Valley Gastroenterology Inc. Gastroenterology CurrentSince Jan 1, 2020 Accepting new patients
Acclaim Physician Group, Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients

Locations

1755 48th St
Ste 100
Boulder, CO 80301
Phone (720) 932-7714

1755 48th St
Boulder, CO 80301
Phone (303) 494-5263

16677 Lowell Blvd
Ste 200
Broomfield, CO 80023

16677 Lowell Blvd
Broomfield, CO 80023
Phone (303) 415-4045

1960 N Ogden St
Ste 210
Denver, CO 80218
Phone (303) 832-9277

1830 N Franklin St
Ste 220
Denver, CO 80218

1000 W South Boulder Rd
Ste 200
Lafayette, CO 80026
Phone (303) 604-4664

13952 Denver West Pkwy
Ste 100
Lakewood, CO 80401
Phone (303) 271-1112

13952 Denver West Pkwy
Lakewood, CO 80401
Phone (303) 271-1112

1551 Professional Ln
Longmont, CO 80501
Phone (303) 776-7582

1551 Professional Ln
Unit 290
Longmont, CO 80501

382 S Arthur Ave
Unit 100
Louisville, CO 80027

382 S Arthur Ave
Louisville, CO 80027

11900 Grant St
Ste 360
Northglenn, CO 80233
Phone (817) 306-5630

11900 Grant St
Ste 290
Northglenn, CO 80233

11900 Grant St
Northglenn, CO 80233
Phone (303) 812-5095

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

Interoperability endpoints

  • Direct secure messaging: r.clarke@gastrorockies.directbygreenway.com

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 9

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1336364041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S ARTHUR AVE",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800273094",
            "telephone_number": "303-604-5000",
            "fax_number": "720-890-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13952 DENVER WEST PKWY STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013141",
            "telephone_number": "303-604-5000",
            "fax_number": "720-890-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "ROHAN",
        "middle_name": "COURTNEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "0062775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000178012",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.