NPIMap

Individual provider Active NPI

Marcello M Rotta, M.D.

  • Hematology & Oncology Physician
  • Denver, CO
National Provider Identifier
1700107075
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
56866 Issued in CO
Practice address
1721 E 19TH Ave Ste 300
Denver
Denver, CO 80218-1258
Phone
(720) 754-4800
Fax
(720) 754-4801
NPI assigned
Jun 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 56866 CO
Hematology & Oncology Physician 207RH0003X 56866 CO Primary

Addresses

Primary practice location

1721 E 19TH Ave Ste 300
Denver
Denver, CO 80218-1258

Mailing address

4900 S Monaco St Ste 210
Denver
Denver, CO 80237-3487
Phone (720) 754-4800

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
I20160917000096 CO Practitioner - Hematology/Oncology 1153636071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthone Clinic Services - Oncology Hematology LLCGroup PAC ID 9436293461, 47 clinicians

Practice addresses (Care Compare)

1721 E 19TH Ave
Suite 300
Denver, CO 80218-1251
Phone (720) 754-4800

Hospital & facility affiliations

  • HCA HealthOne Presbyterian St. Lukes Hospital, Denver, CO, CCN 060014
  • Children'S Hospital Colorado Hospital, Aurora, CO, CCN 063301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56866COMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Oncology Hematology LLC Hematology & Oncology CurrentSince Sep 1, 2016 Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

1721 E 19th Ave
Ste 300
Denver, CO 80218
Phone (720) 748-4800

4900 S Monaco St
Ste 210
Denver, CO 80237

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1700107075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST STE 210",
            "address_2": "DENVER",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373487",
            "telephone_number": "720-754-4800",
            "fax_number": "720-754-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE STE 300",
            "address_2": "DENVER",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181258",
            "telephone_number": "720-754-4800",
            "fax_number": "720-754-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTA",
        "first_name": "MARCELLO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CO",
            "license": "56866",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "56866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.