Individual provider Active NPI

Tony Lee Robucci, M.D.

  • Psychiatry Physician
  • Denver, CO
National Provider Identifier
1821132226
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33115 Issued in CO
Practice address
180 Adams St
Suite 250
Denver, CO 80206-5223
Phone
(303) 861-1618
Fax
(303) 863-1913
NPI assigned
Feb 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 33115 CO Primary

Addresses

Primary practice location

180 Adams St
Suite 250
Denver, CO 80206-5223

Mailing address

180 Adams St
Suite 250
Denver, CO 80206-5223
Phone (303) 861-1618

Other identifiers 1

IdentifierTypeStateIssuer
01331156MedicaidCO

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
I20110421000642 CO Practitioner - Psychiatry 2567647332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Maryland School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4495 Hale Pkwy
Suite 120
Denver, CO 80220-6203
Phone (303) 861-1618

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33115COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tony L Robucci M D a Professional LLC Psychiatry CurrentSince Mar 16, 2011 Accepting new patients
Colorado Psychological Resources, PC Past Accepting new patients

Locations

180 Adams St
Ste 250
Denver, CO 80206
Phone (303) 320-6827

1370 N Pennsylvania St
Ste 450
Denver, CO 80203
Phone (303) 831-8717

4495 Hale Pkwy
Ste 120
Denver, CO 80220
Phone (303) 523-3698

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.

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1821132226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ADAMS ST",
            "address_2": "SUITE 250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065223",
            "telephone_number": "303-861-1618",
            "fax_number": "303-863-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ADAMS ST",
            "address_2": "SUITE 250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065223",
            "telephone_number": "303-861-1618",
            "fax_number": "303-863-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBUCCI",
        "first_name": "TONY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "33115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01331156",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.