Active NPI
Robert R Fierer, M.D.
- Internal Medicine Physician
- Northglenn, CO
National Provider Identifier
1477550960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD035627L
- Practice address
- 10050 Ralston Rd # 1 - B/E
Northglenn, CO 80233-4974 - Phone
- (720) 401-2340
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | DR.0049839 | CO | |
| Community/Behavioral Health Agency | 251S00000X | AF6214960 | CO | |
| Internal Medicine Physician | 207R00000X | MD035627L | PA | Primary |
| Internal Medicine Physician | 207R00000X | DR.0049839 | CO |
Addresses
Primary practice location
10050 Ralston Rd # 1 - B/E
Northglenn, CO 80233-4974
Mailing address
11857 Keough Dr
Northglenn, CO 80233-1221
Phone (720) 401-2340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000198814 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0049839 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Road to Me Recovery Services | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1477550960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11857 KEOUGH DR",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802331221",
"telephone_number": "720-401-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10050 RALSTON RD # 1 - B/E",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802334974",
"telephone_number": "720-401-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIERER",
"first_name": "ROBERT",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2023-02-10",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": "CO",
"license": "DR.0049839",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CO",
"license": "AF6214960",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD035627L",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0049839",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000198814",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.