Active NPI
Roderick Shields O'Brien, M.D.
- Psychiatry Physician
- Louisville, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0051727
- Practice address
- 2255 S 88TH St
Louisville, CO 80027-9716 - Phone
- (303) 673-9990
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0051727 | CO | |
| Psychiatry Physician | 2084P0800X | 0051727 | CO | Primary |
Addresses
Primary practice location
2255 S 88TH St
Louisville, CO 80027-9716
Mailing address
2255 S 88TH St
Louisville, CO 80027-9716
Phone (303) 673-9990
Other practice location 1
1750 E Ken Pratt Blvd Fl 1
Longmont, CO 80504-5311
Phone (720) 718-8310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487686325 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Indiana University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1444 S Potomac St
Suite 220
Aurora, CO 80012-4509
Phone (720) 400-7025
2255 S 88TH St
Louisville, CO 80027-9716
Phone (303) 673-9990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0051727 | CO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Centennial Peaks LLC | Current | Accepting new patients | |
| Uhs of Centennial Peaks, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| TMS Solutions Inc | Neurology | Current | Accepting new patients |
| Noma, PC | Past | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
425 S Cherry St
Ste 906
Glendale, CO 80246
Phone (303) 500-3055
3150 N 12th St
Grand Junction, CO 81506
Phone (970) 243-5437
5655 S Yosemite St
Ste 201
Greenwood Village, CO 80111
1760 E Ken Pratt Blvd
Ste 305
Longmont, CO 80504
Phone (720) 718-8310
1750 E Ken Pratt Blvd
Fl 1
Longmont, CO 80504
Phone (720) 718-8310
1750 E Ken Pratt Blvd
Unit 1
Longmont, CO 80504
2255 S 88th St
Louisville, CO 80027
Phone (303) 666-2095
765 E Holland Ave
Ste 1
Spokane, WA 99218
Phone (509) 242-6005
Interoperability endpoints
- roderick.o.brien.1@21564.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Psychiatric Hospital
- Louisville, CO
- NPI 1760623888
-
- Behavioral Neurology & Neuropsychiatry Physician
- Aurora, CO
- NPI 1669098778
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Family Nurse Practitioner
- Louisville, CO
- NPI 1386179711
-
- Orthopaedic Surgery Physician
- Jackson, TN
- NPI 1831550854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1487686325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 S 88TH ST",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800279716",
"telephone_number": "303-673-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 S 88TH ST",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800279716",
"telephone_number": "303-673-9990"
}
],
"practiceLocations": [
{
"address_1": "1750 E Ken Pratt Blvd Fl 1",
"address_purpose": "LOCATION",
"city": "Longmont",
"state": "CO",
"postal_code": "805045311",
"country_code": "US",
"telephone_number": "720-718-8310",
"fax_number": "720-718-8301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'BRIEN",
"first_name": "RODERICK",
"middle_name": "SHIELDS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CO",
"license": "0051727",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "0051727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487686325",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.