Active NPI
Cliff Gronseth, MD
- Physical Medicine & Rehabilitation Physician
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 35231
- Practice address
- 5387 Manhattan Cir
Suite 200
Boulder, CO 80303-4284 - Phone
- (303) 494-7773
- Fax
- (303) 494-1104
- NPI assigned
- Sep 23, 2005
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 35231 | CO | Primary |
Addresses
Primary practice location
5387 Manhattan Cir
Suite 200
Boulder, CO 80303-4284
Mailing address
5387 Manhattan Cir
Suite 200
Boulder, CO 80303-4284
Phone (303) 494-7773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01352319 | 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
- Physical Medicine and Rehabilitation
- Education
- University of California, San Francisco School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3555 Lutheran Pkwy
Suite 210
Wheat Ridge, CO 80033-6037
Phone (303) 494-7773
5387 Manhattan Cir
Suite 200
Boulder, CO 80303-4283
Phone (303) 494-7773
Hospital & facility affiliations
- Boulder Community Health
- Uchealth Yampa Valley Medical Center
- Middle Park Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35231 | CO | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine West a Professional LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
5387 Manhattan Cir
Ste 200
Boulder, CO 80303
Phone (303) 494-1104
5387 Manhattan Cir
Ste 100B
Boulder, CO 80303
Phone (303) 494-7733
5387 Manhattan Cir
Boulder, CO 80303
Phone (303) 373-2008
1475 Pine Grove Rd
Ste 108
Steamboat Springs, CO 80487
940 Central Park Dr
Ste 280
Steamboat Springs, CO 80487
Phone (970) 439-0800
705 Marketplace Plz
Steamboat Springs, CO 80487
Phone (970) 439-0800
3555 Lutheran Pkwy
Ste 210
Wheat Ridge, CO 80033
Phone (303) 422-6043
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Boulder, CO
- NPI 1427091206
Hospital & facility affiliations 43
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": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1811983802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5387 MANHATTAN CIR",
"address_2": "SUITE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803034284",
"telephone_number": "303-494-7773",
"fax_number": "303-494-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5387 MANHATTAN CIR",
"address_2": "SUITE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803034284",
"telephone_number": "303-494-7773",
"fax_number": "303-494-1104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRONSETH",
"first_name": "CLIFF",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "35231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01352319",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.