Individual provider Active NPI

Roy Joseph Durbin, M.D.

  • Family Medicine Physician
  • Westminster, CO
National Provider Identifier
1639130438
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CO28025 Issued in CO
Practice address
10081 Wadsworth Pkwy Ste 200
Westminster, CO 80021-3827
Phone
(303) 431-5409
Fax
(303) 453-4994
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CO28025 CO Primary

Addresses

Primary practice location

10081 Wadsworth Pkwy Ste 200
Westminster, CO 80021-3827

Mailing address

3483 S Cimarron Way
Aurora, CO 80014-3911
Phone (303) 905-9377

Other identifiers 1

IdentifierTypeStateIssuer
01280254MedicaidCO

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
I20100831000867 CO Practitioner - General PracticePractitioner - Obstetrics/Gynecology 0143249367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Obstetrics/Gynecology
Education
University of Colorado School of Medicine, Denver, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5250 Leetsdale Dr
Suite 110
Denver, CO 80246-1450
Phone (303) 954-0058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CO28025COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Clinic for Health Equity CurrentSince Jan 15, 2024 Accepting new patients

Locations

5250 Leetsdale Dr
Ste 110112
Denver, CO 80246

5250 Leetsdale Dr
Ste 110
Denver, CO 80246
Phone (303) 914-8217

Interoperability endpoints

  • Direct secure messaging: roy.durbin.1@22647.direct.athenahealth.com

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1639130438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3483 S CIMARRON WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143911",
            "telephone_number": "303-905-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10081 WADSWORTH PKWY STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800213827",
            "telephone_number": "303-431-5409",
            "fax_number": "303-453-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "ROY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CO28025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01280254",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.