NPIMap

Individual provider Active NPI

Jordyn Alexa Roddy, PA-C

  • Surgical Physician Assistant
  • Lone Tree, CO
National Provider Identifier
1659801454
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5012 Issued in CO
Practice address
10103 Ridgegate Parkway
Aspen Building, Suite 112
Lone Tree, CO 80124
Phone
(303) 662-8250
Fax
(303) 662-8249
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 5012 CO Primary

Addresses

Primary practice location

10103 Ridgegate Parkway
Aspen Building, Suite 112
Lone Tree, CO 80124

Mailing address

10103 Ridgegate Parkway
Aspen Building, Suite 112
Lone Tree, CO 80124

Other practice location 1

12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000

Other names 1

  • Jordyn Alexa Lewis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170703001569 CO Practitioner - Physician Assistant 0941579189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

175 Inverness Dr West
200 Cu Medicine Steadman Hawkins Ortho and SP
Englewood, CO 80112-5065
Phone (303) 694-3333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated CurrentSince Aug 1, 2019 Accepting new patients
University Physicians, Incorporated CurrentSince Aug 1, 2019 Accepting new patients
University Physicians Incorporated Physician Assistant Past Accepting new patients
University Physicians, Incorporated Past Accepting new patients
Colorado Orthopaedics PC Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

175 Inverness Dr W
Ste 200
Englewood, CO 80112
Phone (303) 469-3182

1500 Park Central Dr
Ste 401
Highlands Ranch, CO 80129
Phone (720) 516-4085

1500 Park Central Dr
Littleton, CO 80129
Phone (720) 516-1000

9548 Park Meadows Dr
Lone Tree, CO 80124
Phone (720) 848-2200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16409/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1659801454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PARKWAY",
            "address_2": "ASPEN BUILDING, SUITE 112",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PARKWAY",
            "address_2": "ASPEN BUILDING, SUITE 112",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-662-8250",
            "fax_number": "303-662-8249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12605 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452545",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODDY",
        "first_name": "JORDYN",
        "middle_name": "ALEXA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "5012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDYN",
            "last_name": "LEWIS",
            "middle_name": "ALEXA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.