NPIMap

Individual provider Active NPI

Paul Dean Rozeboom, MD

  • Surgery Physician
  • Parker, CO
National Provider Identifier
1780104778
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0073993 Issued in CO
Practice address
9399 Crown Crest Blvd Ste 325
Parker, CO 80138-8572
Phone
(303) 805-1855
Fax
(303) 805-4421
NPI assigned
Jun 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X U0840 TX
Surgery Physician 208600000X RL14687 ND
Surgery Physician 208600000X DR.0073993 CO Primary

Addresses

Primary practice location

9399 Crown Crest Blvd Ste 325
Parker, CO 80138-8572

Mailing address

9399 Crown Crest Blvd Ste 220
Parker, CO 80138-8508
Phone (303) 805-1855

Other identifiers 1

IdentifierTypeStateIssuer
9000183827MedicaidCO

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
I20241216002653 CO Practitioner - General Surgery 7911265855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Surgical and Critical Care Associates PLLCGroup PAC ID 7810978095, 22 clinicians
Chris B Winter MD PCGroup PAC ID 3870588601, 16 clinicians

Practice addresses (Care Compare)

9395 Crown Crest Blvd
Parker, CO 80138-8573
Phone (303) 269-4000

9399 Crown Crest Blvd
Suite 220
Parker, CO 80138-8508
Phone (303) 805-1855

Hospital & facility affiliations

  • The Medical Center of Aurora & South Hospital Hospital, Aurora, CO, CCN 060100
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U0840TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chris B Winter MD PC Surgery Current Accepting new patients
Colorado Surgical and Critical Care Associates PLLC Surgery CurrentSince Jan 1, 2025 Accepting new patients
Chris B Winter MD PC Surgery CurrentSince Dec 10, 2024 Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

2352 Meadows Blvd
Ste 250
Castle Rock, CO 80109
Phone (303) 214-4500

14000 E Arapahoe Rd
Ste 210
Centennial, CO 80112
Phone (303) 617-4300

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

7750 S Broadway
Ste 230
Littleton, CO 80122
Phone (303) 778-6527

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

9399 Crown Crest Blvd
Ste 220
Parker, CO 80138
Phone (303) 805-1855

9399 Crown Crest Blvd
Ste 325
Parker, CO 80138
Phone (303) 805-1855

Interoperability endpoints

  • Direct secure messaging: paul.rozeboom.1@15573.direct.athenahealth.com

Organizations & group practices 4

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1780104778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9399 CROWN CREST BLVD STE 220",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388508",
            "telephone_number": "303-805-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 CROWN CREST BLVD STE 325",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388572",
            "telephone_number": "303-805-1855",
            "fax_number": "303-805-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZEBOOM",
        "first_name": "PAUL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "U0840",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ND",
            "license": "RL14687",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0073993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000183827",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.