Active NPI
Malcolm S Dobrow, MD
- Diagnostic Radiology Physician
- Aurora, CO
National Provider Identifier
1558370379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 20146
- Practice address
- 1501 S Potomac St
Aurora, CO 80012-5411 - Phone
- (303) 761-9190
- Fax
- (720) 874-4462
- NPI assigned
- Aug 8, 2006
- Last updated
- Apr 7, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 20146 | CO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 25157 | NE | |
| Diagnostic Radiology Physician | 2085R0202X | 04-36296 | KS | |
| Diagnostic Radiology Physician | 2085R0202X | MD17543 | HI |
Addresses
Primary practice location
1501 S Potomac St
Aurora, CO 80012-5411
Mailing address
10700 E Geddes Ave Ste 200
Englewood, CO 80112-3861
Phone (303) 761-9190
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558370379 | Medicaid | CA | |
| 1558370379 | Medicaid | IA | |
| 1558370379 | Medicaid | WY | |
| 84-059792913 | Medicaid | NE | |
| 104686070 | Medicaid | MI | |
| 1558370379 | Medicaid | IL | |
| 1679513196 | Medicaid | UT | |
| 179544 | Medicaid | AZ | |
| 205735801 | Medicaid | TX | |
| 209903806 | Medicaid | MO | |
| 01201466 | Medicaid | CO | |
| 200424880A | Medicaid | KS | |
| 2736490 | Medicaid | OH | |
| 200425120A | Medicaid | OK | |
| 99112263 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20146 | CO | MD | Diagnostic Radiology Physician |
| MD17543 | HI | MD | Diagnostic Radiology Physician |
| 04-36296 | KS | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1558370379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 E GEDDES AVE STE 200",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801123861",
"telephone_number": "303-761-9190",
"fax_number": "720-874-4462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S POTOMAC ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800125411",
"telephone_number": "303-761-9190",
"fax_number": "720-874-4462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBROW",
"first_name": "MALCOLM",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "20146",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "25157",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "04-36296",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "HI",
"license": "MD17543",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558370379",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558370379",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558370379",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84-059792913",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104686070",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558370379",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679513196",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179544",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205735801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209903806",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01201466",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200424880A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2736490",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200425120A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99112263",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.