Individual provider Active NPI

Jason Robert Roosa, M.D.

  • Emergency Medicine Physician
  • Wheat Ridge, CO
National Provider Identifier
1740448281
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
43294 Issued in AZ
Practice address
8300 W 38TH Ave
Emergency Department, Exempla Lutheran Medical Center
Wheat Ridge, CO 80033-6005
Phone
(303) 771-9753
NPI assigned
May 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 43294 AZ
Emergency Medicine Physician 207P00000X 43294 AZ Primary

Addresses

Primary practice location

8300 W 38TH Ave
Emergency Department, Exempla Lutheran Medical Center
Wheat Ridge, CO 80033-6005

Mailing address

8300 W 38TH Ave
Emergency Department, Exempla Lutheran Medical Center
Wheat Ridge, CO 80033-6005

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120814000390 CO Practitioner - Emergency Medicine 3779609177 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43294AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Service Physicians, Inc. Emergency Medicine CurrentSince Aug 1, 2010 Accepting new patients
Emergency Service Physicians, Inc. Emergency Medicine CurrentSince Aug 1, 2010 Accepting new patients
Emergency Physicians Professional Association LTD Emergency Medicine Past Accepting new patients
Ingenuity Medical Group LLC Emergency Medicine Past Accepting new patients
Emurgent Care PLLC Past Accepting new patients

Locations

6500 W 104th Ave
Westminster, CO 80020
Phone (720) 573-5000

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

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.

NPI Registry JSON

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1740448281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE",
            "address_2": "EMERGENCY DEPARTMENT, EXEMPLA LUTHERAN MEDICAL CENTER",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE",
            "address_2": "EMERGENCY DEPARTMENT, EXEMPLA LUTHERAN MEDICAL CENTER",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005",
            "telephone_number": "303-771-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOSA",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-31",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AZ",
            "license": "43294",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "43294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.