Individual provider Active NPI

Rebekah Ruth Gaensbauer, MB,BAO, BCH

  • Pediatrics Physician
  • Aurora, CO
National Provider Identifier
1518256288
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR.0054418 Issued in CO
Practice address
13001 E. 17TH Place
University of Colorado Denver School of Medicine Gme
Aurora, CO 80045-0000
Phone
(303) 724-6031
NPI assigned
Apr 4, 2011
Sex
Female
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
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X DR.0054418 CO Primary

Addresses

Primary practice location

13001 E. 17TH Place
University of Colorado Denver School of Medicine Gme
Aurora, CO 80045-0000

Mailing address

1850 Niagara Street
Denver, CO 80220-1747
Phone (720) 431-1928

Other names 1

  • Rebekah Ruth Schwartz Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190911001517 CO Practitioner - Pediatric Medicine 5799014031 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0054418COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Aug 1, 2019 Accepting new patients
Denver Health and Hospital Authority CurrentSince Aug 1, 2019 Accepting new patients

Locations

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

777 Bannock St
Denver, CO 80204

Organizations & group practices 2

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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1518256288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 NIAGARA STREET",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201747",
            "telephone_number": "720-431-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 E. 17TH PLACE",
            "address_2": "UNIVERSITY OF COLORADO DENVER SCHOOL OF MEDICINE GME",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800450000",
            "telephone_number": "303-724-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAENSBAUER",
        "first_name": "REBEKAH",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "MB,BAO, BCH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0054418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "SCHWARTZ",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.