Amanda Roberts, MD
Individual provider Active NPI Surgery Physician · Denver, CO
NPI 1366889792 · NPPES record last updated Aug 10, 2023
Key facts
- NPI
- 1366889792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- DR.0070813 (CO)
- Practice address
- 777 Bannock St # Mc3240
Denver, CO 80204-4597 - Phone
- (303) 436-6000
- NPI assigned
- May 24, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Denver Health and Hospital Authority
Practice addresses (Care Compare)
777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000
Hospital & facility affiliations
- Denver Health & Hospital Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.65 of 100
- Quality
- 92.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.02
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180912000532 | NC | Practitioner - General Surgery | 4082986047 | Reassigns benefits to 1 organization |
| I20230726004013 | CO | Practitioner - General Surgery | 4082986047 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163079 | CA | MD | Surgery Physician |
| DR.0070813 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health and Hospital Authority | Current |
Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current |
Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current |
Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current |
Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Past | Accepting new patients | |
| Denver Health and Hospital Authority | Past | Accepting new patients | |
| Denver Health and Hospital Authority | Past | Accepting new patients |
Locations
777 Bannock St
Ste MC3450
Denver, CO 80204
777 Bannock St
Denver, CO 80204
777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714
1025 Morehead Medical Dr
Ste 600
Charlotte, NC 28204
Phone (704) 355-4062
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
2608 E 7th St
Charlotte, NC 28204
Phone (704) 344-9034
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
1090 Vinehaven Dr NE
Concord, NC 28025
Phone (704) 403-7580
Interoperability endpoints
- aroberts290693@direct.dhha.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 163079 | CA | |
| Surgery Physician | 208600000X | 2018-00880 | NC | |
| Surgery Physician | 208600000X | DR.0070813 | CO | Yes |
Addresses
Primary practice location
777 Bannock St # Mc3240
Denver, CO 80204-4597
Mailing address
3753 Mallard St
Highlands Ranch, CO 80126-2951
Other practice location 1
1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000
Other practice location 2
1090 Vinehaven Dr NE
Concord, NC 28025-2438
Phone (704) 403-7580
Other practice location 3
1025 Morehead Medical Dr
Suite 600
Charlotte, NC 28204-2963
Phone (704) 355-8816
Other practice location 4
2630 E 7th St
Ste 100
Charlotte, NC 28204-4318
Phone (704) 355-9484
Other practice location 5
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-1255
Other practice location 6
1025 Morehead Medical Dr
Suite 300
Charlotte, NC 28204-2963
Phone (704) 355-1813
Other names
- Mandi Klein
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.