Jack L Rook, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

30128 Issued in CO

Practice address

923 W Colorado Ave
Colorado Springs, CO 80905-1517

Phone

(719) 227-0101

Fax

(719) 227-0303

NPI assigned

Dec 4, 2006

Last updated

Mar 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Physical Medicine and RehabilitationAlso: Pain Management

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Intermountain Rehabilitation Associates PC

  • Specialist
  • Colorado Springs, CO
  • NPI 1568737872
  Medicare reassignment Authorized official
• Intermountain Rehabilatation Assoc

  • Specialist
  • Colorado Springs, CO
  • NPI 1669645149
  Authorized official Same address or phone

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1699833509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051517",
            "telephone_number": "719-227-0101",
            "fax_number": "719-227-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051517",
            "telephone_number": "719-227-0101",
            "fax_number": "719-227-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOK",
        "first_name": "JACK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CO",
            "license": "30128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-301282",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P-TAN",
            "identifier": "C77721",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel Ricardo Rondon
• Melody Elaine Ronk, PA-C
• Danielle Ronner, L.AC.
• Cecinio Castillo Ronquillo Jr., MD, PHD
• Julie Ronshaugen, RN
• Alexander Rooke
• Ashley Rooks, LPC, LAC
• Sandra Rooks, MA, LPC
• Kymberly Roosa
• Root and Rise Counseling PLLC (Root and Rise Counseling)

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.

Verify at the official NPI Registry.