NPIMap

Organization Active NPI

Vascular Labs of the Rockies PLLC

  • Vascular Surgery Physician
  • Denver, CO
National Provider Identifier
1396374351
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VASCULAR LABS OF THE ROCKIES PLLC
Practice address
4105 E Florida Ave
Denver, CO 80222-3620
Phone
(303) 539-0736
Fax
(303) 539-0737
NPI assigned
Apr 2, 2020
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Desiree Roberts
Title
Business Office Supervisor
Phone
(720) 880-7839

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

4105 E Florida Ave
Denver, CO 80222-3620

Mailing address

4105 E Florida Ave Ste 100
Denver, CO 80222-3636
Phone (303) 539-0736

Other identifiers 4

IdentifierTypeStateIssuer
1912984386OtherCONPPES
1235454497OtherCONPPES
1740222322OtherCONPPES
1598076572OtherCONPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200721003704 CO Part B Supplier - Clinic/Group Practice 0244654473 Receives reassigned benefits from 12 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1601 E 19th Ave
Ste 3950
Denver, CO 80218
Phone (303) 539-0736

Practitioners & affiliated clinicians

Practitioners 12

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": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1396374351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 E FLORIDA AVE STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223636",
            "telephone_number": "303-539-0736",
            "fax_number": "303-539-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 E FLORIDA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223620",
            "telephone_number": "303-539-0736",
            "fax_number": "303-539-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR LABS OF THE ROCKIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "BUSINESS OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "720-880-7839"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1912984386",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1235454497",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1740222322",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1598076572",
            "state": "CO"
        }
    ],
    "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 Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.