Active NPI
Raul Eduardo Cubillas Manrique, M.D
- Gastroenterology Physician
- Northglenn, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0062775
- Practice address
- 11900 Grant St
Northglenn, CO 80233-1117 - Phone
- (303) 604-5000
- Fax
- (720) 890-0364
- NPI assigned
- Dec 18, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0062775 | CO | Primary |
Addresses
Primary practice location
11900 Grant St
Northglenn, CO 80233-1117
Mailing address
382 S Arthur Ave
Louisville, CO 80027-3094
Phone (303) 604-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900175048 | 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 Compare- Specialty
- Gastroenterology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13952 Denver W Pkwy
Suite 100 BLDG 53
Lakewood, CO 80401-3141
Phone (303) 604-5000
Hospital & facility affiliations
- Intermountain Health Lutheran Hospital
- Good Samaritan Medical Center LLC
- Saint Joseph Hospital
- Boulder Community Health
- Intermountain Health Platte Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 107 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 119 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0062775 | CO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Valley Gastroenterology Inc. | Gastroenterology | Current | Accepting new patients |
| Boulder Valley Gastroenterology Inc. | Gastroenterology | Current | Accepting new patients |
Locations
1755 48th St
Ste 100
Boulder, CO 80301
Phone (720) 932-7714
1755 48th St
Boulder, CO 80301
Phone (303) 494-5263
16677 Lowell Blvd
Ste 200
Broomfield, CO 80023
16677 Lowell Blvd
Broomfield, CO 80023
Phone (303) 415-4045
1830 N Franklin St
Ste 220
Denver, CO 80218
1960 N Ogden St
Ste 210
Denver, CO 80218
Phone (303) 832-9277
1960 N Ogden St
Denver, CO 80218
Phone (303) 318-2500
1000 W South Boulder Rd
Ste 200
Lafayette, CO 80026
Phone (303) 604-4664
13952 Denver West Pkwy
Ste 100
Lakewood, CO 80401
Phone (303) 271-1112
1551 Professional Ln
Unit 290
Longmont, CO 80501
1551 Professional Ln
Longmont, CO 80501
Phone (303) 776-7582
382 S Arthur Ave
Unit 100
Louisville, CO 80027
382 S Arthur Ave
Louisville, CO 80027
11900 Grant St
Northglenn, CO 80233
Phone (303) 812-5095
11900 Grant St
Ste 360
Northglenn, CO 80233
Phone (817) 306-5630
8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015
Interoperability endpoints
- raul.manrique@mrmc.gadirect.net
- r.cubillas@gastrorockies.directbygreenway.com
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Lafayette, CO
- NPI 1902832603
-
- Gastroenterology Physician
- Northglenn, CO
- NPI 1043806276
Hospital & facility affiliations 45
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1679636120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 S ARTHUR AVE",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800273094",
"telephone_number": "303-604-5000",
"fax_number": "720-890-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 GRANT ST",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802331117",
"telephone_number": "303-604-5000",
"fax_number": "720-890-0364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUBILLAS MANRIQUE",
"first_name": "RAUL",
"middle_name": "EDUARDO",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CO",
"license": "0062775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "900175048",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.