NPIMap

Individual provider Active NPI

Rodrigo Andres Lopez Castelblanco, M.D.

  • Hospitalist Physician
  • Denver, CO
National Provider Identifier
1447583273
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2014007080 Issued in MO
Practice address
835 E 18TH Ave Ste 110
Denver, CO 80218-1024
Phone
(303) 825-4646
Fax
(303) 825-3215
NPI assigned
Sep 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 58526 CO
Hospitalist Physician 208M00000X 2014007080 MO Primary

Addresses

Primary practice location

835 E 18TH Ave Ste 110
Denver, CO 80218-1024

Mailing address

835 E 18TH Ave Ste 110
Denver, CO 80218-1024
Phone (303) 825-4646

Other practice location 1

535 16th St Ste 750
Denver, CO 80202-4228
Phone (303) 825-4646

Other practice location 2

751 Sappington Bridge Rd
Sullivan, MO 63080-2354
Phone (573) 468-4186

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171117000120 CO Practitioner - HospitalistPractitioner - Internal Medicine 3476778382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Practice addresses (Care Compare)

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

  • Intermountain Health Hospice - Denver Hospice, Wheat Ridge, CO, CCN 061508
  • Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009
  • Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004
  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58526COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 11, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC Internal Medicine Current Accepting new patients
Intermountain Front Range, Inc. Past Accepting new patients
Brighton Community Hospital Association Past Accepting new patients
Good Samaritan Medical Center, LLC Past Accepting new patients

Locations

835 E 18th Ave
Ste 110
Denver, CO 80218
Phone (303) 825-4646

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

Organizations & group practices 5

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 8

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": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447583273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E 18TH AVE STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181024",
            "telephone_number": "303-825-4646",
            "fax_number": "303-825-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E 18TH AVE STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181024",
            "telephone_number": "303-825-4646",
            "fax_number": "303-825-3215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 16th St Ste 750",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802024228",
            "country_code": "US",
            "telephone_number": "303-825-4646",
            "fax_number": "303-825-3215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 Sappington Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "MO",
            "postal_code": "630802354",
            "country_code": "US",
            "telephone_number": "573-468-4186",
            "fax_number": "573-860-6179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ CASTELBLANCO",
        "first_name": "RODRIGO",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "58526",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2014007080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.