NPIMap

Organization Active NPI

Neurology of the Rockies, LLC

Doing business as Neurology of the Rockies, PC

  • Neurology Physician
  • Parker, CO
National Provider Identifier
1538280466
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
43539 Issued in CO
Legal business name
NEUROLOGY OF THE ROCKIES, LLC
Doing business as
Neurology of the Rockies, PC
Practice address
9235 Crown Crest Blvd
Suite 200
Parker, CO 80138-8880
Phone
(303) 840-5051
Fax
(303) 791-4685
NPI assigned
Apr 2, 2007
Last updated
Sep 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Dr. Ravi Shah, MDNPI 1013999895
Title
President
Phone
(303) 840-5051

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
Neurology Physician 2084N0400X 43539 CO Primary

Addresses

Primary practice location

9235 Crown Crest Blvd
Suite 200
Parker, CO 80138-8880

Mailing address

PO Box 630920
Littleton, CO 80163
Phone (303) 840-5051

Other identifiers 1

IdentifierTypeStateIssuer
70553076MedicaidCO

Other names 1

  • Neurology of the Rockies, PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051011001222 CO Part B Supplier - Clinic/Group Practice 7315962008 Receives reassigned benefits from 21 practitioners
2 other NPIs on this enrollment
Practice locations: Castle Rock, CO; Colorado Springs, CO; Denver, CO; Englewood, CO; Johnstown, CO; Parker, CO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4350 Limelight Ave
Unit 250
Castle Rock, CO 80109
Phone (303) 697-1636

125 Inverness Dr E
Englewood, CO 80112
Phone (303) 768-8977

9235 Crown Crest Blvd
Ste 200
Parker, CO 80138
Phone (303) 840-5051

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1538280466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630920",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80163",
            "telephone_number": "303-840-5051",
            "fax_number": "303-791-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 CROWN CREST BLVD",
            "address_2": "SUITE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388880",
            "telephone_number": "303-840-5051",
            "fax_number": "303-791-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY OF THE ROCKIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-840-5051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "43539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70553076",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurology of the Rockies, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.