Active NPI
Robert A Leibold, M.D.
- Diagnostic Radiology Physician
- Lakewood, CO
National Provider Identifier
1598724171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 31786
- Practice address
- 11600 W 2ND PL
Lakewood, CO 80228-1527 - Phone
- (720) 321-0000
- Fax
- (720) 321-1621
- NPI assigned
- Mar 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 31786 | CO | Primary |
Addresses
Primary practice location
11600 W 2ND PL
Lakewood, CO 80228-1527
Mailing address
PO Box 223897
Pittsburgh, PA 15251-2897
Phone (720) 501-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300122674 | Other | CO | RAILROAD MEDICRAE |
| 01523562 | Medicaid | CO |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.64 of 100
- Quality
- 86.81
- Improvement activities
- 40
- Cost
- 77.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31786 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pahs Onpoint Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Schryver Medical Sales and Marketing Inc. | Past | Accepting new patients | |
| New Schryver LLC | Past | Accepting new patients |
Locations
9205 S Broadway
Ste 101
Highlands Ranch, CO 80129
Phone (720) 603-4353
1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559
Interoperability endpoints
- https://api.platform.athenahealth.com/9821/brand/7/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1255306726
-
- Body Imaging Physician
- Highlands Ranch, CO
- NPI 1790343911
Diagnostic Radiology
-
- Mobile Radiology Clinic/Center
- Denver, CO
- NPI 1295849537
-
- Clinical Medical Laboratory
- Carrollton, TX
- NPI 1689025116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1598724171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 223897",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152512897",
"telephone_number": "720-501-5000",
"fax_number": "303-458-3997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 W 2ND PL",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281527",
"telephone_number": "720-321-0000",
"fax_number": "720-321-1621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIBOLD",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "31786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICRAE",
"identifier": "300122674",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01523562",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.