NPIMap

Individual provider Active NPI

Robert Reifort Wiggin, M.D.

  • Family Medicine Physician
  • Lakewood, CO
National Provider Identifier
1336590108
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0071748 Issued in CO
Practice address
255 S Routt St Ste 300
Lakewood, CO 80228-2354
Phone
(720) 321-8280
Fax
(720) 321-8281
NPI assigned
Jun 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL39753 SC
Family Medicine Physician 207Q00000X DR.0071748 CO Primary

Addresses

Primary practice location

255 S Routt St Ste 300
Lakewood, CO 80228-2354

Mailing address

255 S Routt St Ste 300
Lakewood, CO 80228-2354
Phone (720) 321-8280

Other identifiers 1

IdentifierTypeStateIssuer
9000227169MedicaidCO

Other names 1

  • Zichuan Qu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190801002109 KS Practitioner - HospitalistPractitioner - Family Practice 6800180530 Reassigns benefits to 1 organization
I20240307002816 CO Practitioner - Family Practice 6800180530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

255 S Routt St
Lakewood, CO 80228-2354

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

7400 E Caley Ave
Suite 300
Centennial, CO 80111-6714
Phone (720) 321-3550

Hospital & facility affiliations

  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015
  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0071748COMDFamily Medicine Physician
LL39753SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Current Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Aug 1, 2019 Accepting new patients
Saint Lukes Hospital of Garnett Inc Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Mar 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Mar 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

255 S Routt St
Ste 300
Lakewood, CO 80228
Phone (720) 321-8280

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

Organizations & group practices 6

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 10

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1336590108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S ROUTT ST STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282354",
            "telephone_number": "720-321-8280",
            "fax_number": "720-321-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S ROUTT ST STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282354",
            "telephone_number": "720-321-8280",
            "fax_number": "720-321-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGIN",
        "first_name": "ROBERT",
        "middle_name": "REIFORT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL39753",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0071748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000227169",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZICHUAN",
            "last_name": "QU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.