Organization Active NPI

Tony L Robucci M D a Professional LLC

  • Psychiatry Physician
  • Denver, CO
National Provider Identifier
1508168493
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33115 Issued in CO
Legal business name
TONY L ROBUCCI M D A PROFESSIONAL LLC
Practice address
180 Adams St
Suite #250
Denver, CO 80206-5223
Phone
(303) 861-1618
Fax
(303) 863-1913
NPI assigned
Nov 26, 2010
Last updated
Jan 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Dr. Tony Lee Robucci, M.D.NPI 1821132226
Title
President
Phone
(303) 861-1618

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 33115 CO Primary

Addresses

Primary practice location

180 Adams St
Suite #250
Denver, CO 80206-5223

Mailing address

180 Adams St
Suite #250
Denver, CO 80206-5223
Phone (303) 861-1618

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110421000456 CO Part B Supplier - Clinic/Group Practice 2769667526 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

180 Adams St
Ste 250
Denver, CO 80206
Phone (303) 320-6827

4495 Hale Pkwy
Ste 120
Denver, CO 80220
Phone (303) 523-3698

Practitioners & affiliated clinicians

Practitioners 5

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": "1290729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1508168493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ADAMS ST",
            "address_2": "SUITE #250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065223",
            "telephone_number": "303-861-1618",
            "fax_number": "303-863-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ADAMS ST",
            "address_2": "SUITE #250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065223",
            "telephone_number": "303-861-1618",
            "fax_number": "303-863-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY L ROBUCCI M D A PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-26",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "ROBUCCI",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-861-1618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "33115",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 11, 2013; 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.