NPIMap

Individual provider Active NPI

Gareth K Roberts, M.D.

  • Diagnostic Radiology Physician
  • Greeley, CO
National Provider Identifier
1508819723
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
28015 Issued in CO
Practice address
5890 W 13TH St
Suite 104
Greeley, CO 80634-4816
Phone
(970) 392-5400
NPI assigned
May 18, 2006
Last updated
Jun 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 28015 CO Primary

Addresses

Primary practice location

5890 W 13TH St
Suite 104
Greeley, CO 80634-4816

Mailing address

PO Box 3546
Crested Butte, CO 81224-3546

Other practice location 1

711 N Taylor St
Gunnison, CO 81230-2208
Phone (970) 641-1456

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

LicenseStateTypeSpecialty
28015COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greeley Xray Group PC Past Accepting new patients
Renaissance Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Radiology Imaging of Nebraska, LLC Diagnostic Radiology Past Accepting new patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Diagnostic Radiology Past Accepting new patients
Diagnostic Imaging Associates Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Radiology Imaging Associates, PC Diagnostic Radiology Past Accepting new patients
Riverside Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients
On-Line Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients
Humboldt Park Health PastSince Jan 23, 2025 Accepting new patients
Pco PC Diagnostic Radiology Past Accepting new patients
Renaissance Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1508819723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3546",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812243546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 W 13TH ST",
            "address_2": "SUITE 104",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344816",
            "telephone_number": "970-392-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 N Taylor St",
            "address_purpose": "LOCATION",
            "city": "Gunnison",
            "state": "CO",
            "postal_code": "812302208",
            "country_code": "US",
            "telephone_number": "970-641-1456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "GARETH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "28015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.