Active NPI
Robert Lloyd Shields, MD
- Glaucoma Specialist (Ophthalmology) Physician
- Aurora, CO
National Provider Identifier
1659373561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Glaucoma Specialist (Ophthalmology) Physician
- License
- DR.0021442
- Practice address
- 12605 E 16TH Ave
Aurora, CO 80045-2545 - Phone
- (720) 848-0000
- NPI assigned
- Aug 10, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 21442 | CO | |
| Ophthalmology Physician | 207W00000X | 21442 | CO | |
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | DR.0021442 | CO | Primary |
Addresses
Primary practice location
12605 E 16TH Ave
Aurora, CO 80045-2545
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01214428 | Medicaid | CO | |
| 84145236900 | Medicaid | NE | |
| 104529600/42BE00AG | Medicaid | WY | |
| 04685822/01214428 | Medicaid | CO | |
| 6594832 | Medicaid | CA | |
| 100116070C | Medicaid | KS | |
| 920684 | Other | CO | EYE SPECIALIST |
| 814649/4250186/20059 | Other | CO | AETNA |
| 000041311 | Medicaid | NM |
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 |
|---|---|---|---|
| 21442 | CO | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1659373561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429",
"telephone_number": "303-493-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12605 E 16TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452545",
"telephone_number": "720-848-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "ROBERT",
"middle_name": "LLOYD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "21442",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "21442",
"primary": false
},
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "CO",
"license": "DR.0021442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01214428",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84145236900",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104529600/42BE00AG",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04685822/01214428",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6594832",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100116070C",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE SPECIALIST",
"identifier": "920684",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "814649/4250186/20059",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000041311",
"state": "NM"
}
],
"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 Mar 30, 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.