Organization Active NPI

Rose Internal Medicine

  • Primary Care Clinic/Center
  • Denver, CO
National Provider Identifier
1366838369
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0004148 Issued in CO
Legal business name
ROSE INTERNAL MEDICINE
Practice address
4545 E 9TH Ave
Suite 370
Denver, CO 80220-3901
Phone
(303) 320-7340
Fax
(303) 320-7341
NPI assigned
Apr 7, 2015
Last updated
Apr 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Dr. William Kubaska, M.D.NPI 1548345101
Title
Physician/Owner
Phone
(303) 320-7340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0004148 CO Primary

Addresses

Primary practice location

4545 E 9TH Ave
Suite 370
Denver, CO 80220-3901

Mailing address

4545 E 9TH Ave
Suite 370
Denver, CO 80220-3901
Phone (303) 320-7340

National Provider Directory

National Provider Directory

Locations

4545 E 9th Ave
Ste 370
Denver, CO 80220
Phone (303) 320-7340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1366838369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE",
            "address_2": "SUITE 370",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203901",
            "telephone_number": "303-320-7340",
            "fax_number": "303-320-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE",
            "address_2": "SUITE 370",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203901",
            "telephone_number": "303-320-7340",
            "fax_number": "303-320-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "KUBASKA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "303-320-7340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "0004148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.