Active NPI
Amanda Roberts, MD
- Surgery Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- DR.0070813
- Practice address
- 777 Bannock St # Mc3240
Denver, CO 80204-4597 - Phone
- (303) 436-6000
- NPI assigned
- May 24, 2013
- Last updated
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 163079 | CA | |
| Surgery Physician | 208600000X | 2018-00880 | NC | |
| Surgery Physician | 208600000X | DR.0070813 | CO | Primary |
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 1
- Mandi Klein
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000
Hospital & facility affiliations
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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163079 | CA | MD | Surgery Physician |
| 2018-00880 | NC | 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 | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg 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
Denver, CO 80204
777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714
777 Bannock St
Ste MC3450
Denver, CO 80204
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1025 Morehead Medical Dr
Ste 600
Charlotte, NC 28204
Phone (704) 355-4062
2608 E 7th St
Charlotte, NC 28204
Phone (704) 344-9034
1090 Vinehaven Dr NE
Concord, NC 28025
Phone (704) 403-7580
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
Interoperability endpoints
- aroberts290693@direct.dhha.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
dba Levine Cancer Institute
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
dba Atrium Health Women's Care GYN of the Carolinas
- Gynecology Physician
- Concord, NC
- NPI 1588091177
-
dba Atrium Health Pineville Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
-
- General Acute Care Hospital
- Denver, CO
- NPI 1689624686
-
dba Wellington E. Webb Center for Primary Care
- Federally Qualified Health Center (FQHC)
- Denver, CO
- NPI 1922049014
-
dba Levine Cancer Institute
- Hematology & Oncology Physician
- Charlotte, NC
- NPI 1033489687
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Denver Health East Grand Community Clinic & Emergency Center
- Emergency Care Clinic/Center
- Winter Park, CO
- NPI 1467762435
Hospital
-
- General Acute Care Hospital
- Denver, CO
- NPI 1689624686
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1366889792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3753 MALLARD ST",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801262951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST # MC3240",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597",
"telephone_number": "303-436-6000"
}
],
"practiceLocations": [
{
"address_1": "1700 Mount Vernon Ave",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933064018",
"country_code": "US",
"telephone_number": "661-326-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1090 Vinehaven Dr NE",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252438",
"country_code": "US",
"telephone_number": "704-403-7580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 Morehead Medical Dr",
"address_2": "Suite 600",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042963",
"country_code": "US",
"telephone_number": "704-355-8816",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2630 E 7th St",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282044318",
"country_code": "US",
"telephone_number": "704-355-9484",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 S Kings Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282072134",
"country_code": "US",
"telephone_number": "704-446-1255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 Morehead Medical Dr",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042963",
"country_code": "US",
"telephone_number": "704-355-1813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "AMANDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-24",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "163079",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2018-00880",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "DR.0070813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MANDI",
"last_name": "KLEIN",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.