Individual provider Active NPI

Robert Sven Anderson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Aurora, CO
National Provider Identifier
1619972437
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
436 Issued in CO
Practice address
15901 E Briarwood Cir Unit 300
Aurora, CO 80016-1786
Phone
(303) 632-3668
Fax
(303) 632-3669
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 436 CO Primary

Addresses

Primary practice location

15901 E Briarwood Cir Unit 300
Aurora, CO 80016-1786

Mailing address

15901 E Briarwood Cir Unit 300
Aurora, CO 80016-1786
Phone (303) 632-3668

Other identifiers 1

IdentifierTypeStateIssuer
39105334MedicaidCO

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
436COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Center of the Rockies LLC Foot & Ankle Surgery CurrentSince Jul 1, 2022 Accepting new patients

Locations

15901 E Briarwood Cir
Unit 300
Aurora, CO 80016
Phone (303) 632-3668

Organizations & group practices 1

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1619972437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15901 E BRIARWOOD CIR UNIT 300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161786",
            "telephone_number": "303-632-3668",
            "fax_number": "303-632-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15901 E BRIARWOOD CIR UNIT 300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161786",
            "telephone_number": "303-632-3668",
            "fax_number": "303-632-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ROBERT",
        "middle_name": "SVEN",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39105334",
            "state": "CO"
        }
    ],
    "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 Jan 16, 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.