Individual provider Active NPI

Jerome S Schroeder, M.D.

  • Diagnostic Radiology Physician
  • Denver, CO
National Provider Identifier
1851428866
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
40539 Issued in CO
Practice address
938 Bannock St
Ste 300
Denver, CO 80204-4028
Phone
(303) 716-3787
Fax
(303) 716-3777
NPI assigned
Feb 27, 2007
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 40539 CO Primary

Addresses

Primary practice location

938 Bannock St
Ste 300
Denver, CO 80204-4028

Mailing address

938 Bannock St
Ste 300
Denver, CO 80204-4028
Phone (303) 716-3787

Other practice location 1

10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-4545

Other identifiers 2

IdentifierTypeStateIssuer
014867OtherKAISER-COMMERCIAL NUMBER
27325024MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, OH, AZ, PA, FL, VA, DC, MD, LA10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20040525001105 CO Practitioner - Diagnostic Radiology 1456332691 Reassigns benefits to 7 organizations
I20240219001191 TX Practitioner - Diagnostic Radiology 1456332691 Reassigns benefits to 7 organizations
I20240424003981 OH Practitioner - Diagnostic Radiology 1456332691 Reassigns benefits to 1 organization
I20240507002824 AZ Practitioner - Diagnostic Radiology 1456332691 Reassigns benefits to 1 organization
I20240906002854 PA Practitioner - Diagnostic Radiology 1456332691 Reassigns benefits to 1 organization
I20240925004516 FL Practitioner - Diagnostic Radiology 1456332691 Reassigns benefits to 2 organizations
I20241020000057 VA Practitioner - Diagnostic Radiology 1456332691 Reassigns benefits to 2 organizations
I20250408000511 DC Practitioner - Diagnostic Radiology 1456332691 Reassigns benefits to 1 organization
I20250408000633 MD Practitioner - Diagnostic Radiology 1456332691 Reassigns benefits to 1 organization
I20250703000738 LA Practitioner - Diagnostic Radiology 1456332691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Kansas City, School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Mammography Center IncGroup PAC ID 1355401332, 8 clinicians
San Remo Breast and MRI Center PLLCGroup PAC ID 7315097052, 13 clinicians
Angelina Diagnostic Radiology AssociatesGroup PAC ID 1850380890, 71 clinicians

Practice addresses (Care Compare)

Denver, CO 80205
Phone (832) 216-8220

1015 E 32ND St
Suite 308
Austin, TX 78705-2701
Phone (866) 717-2551

1545 San Remo Ave
Coral Gables, FL 33146-3008
Phone (305) 403-4930

2532 Glenarm PL
Denver, CO 80205-3131
Phone (614) 459-7880

4310 James Casey St
Suite 2
Austin, TX 78745-1120
Phone (866) 717-2551

900 E 30TH St
Suite 111
Austin, TX 78705-3378
Phone (479) 452-9416

935 Camellia Blvd
Suite 100
Lafayette, LA 70508-7084
Phone (832) 216-8220

974 Bethel Rd
Suite F
Columbus, OH 43214-2467
Phone (614) 459-7880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40539COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Radiology Associates, PLLC CurrentSince Feb 10, 2025 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince Jan 23, 2024 Accepting new patients
Methodist Associates in Healthcare, Inc. CurrentSince Jul 23, 2024 Accepting new patients
Methodist Associates in Healthcare, Inc Diagnostic Radiology Current Accepting new patients
Washington Radiology Assoc PLLC CurrentSince Sep 15, 2024 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
Breast Center of Acadiana, a Professional Medical Corporation Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Mammography and Ultrasound Imaging Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Avestee Women's Imaging Center of Boerne, PLLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Ben-Ora Hansen & Vanesian Imaging LTD Diagnostic Radiology CurrentSince Mar 4, 2024 Accepting new patients
San Remo Breast and MRI Center PLLC Diagnostic Radiology CurrentSince Sep 12, 2024 Accepting new patients
Radiology Associates of South Miami PLLC Diagnostic Radiology CurrentSince Sep 12, 2024 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Jul 23, 2024 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
Columbus Mammography Center, Inc. CurrentSince Mar 4, 2024 Accepting new patients
North State Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients
Ben-Ora, Hansen & Vanesian Imaging Past Accepting new patients
Washington Radiology Associates, PLLC Past Accepting new patients
Chico MRI Partners Diagnostic Radiology Past Accepting new patients
Ben-Ora Hansen & Vanesian Imaging Past Accepting new patients
Ben-Ora, Hansen, & Vanesian Imaging Past Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology PastSince Mar 14, 2016 Accepting new patients
North State Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients
Flatirons Radiology, LLC Diagnostic Radiology Past Accepting new patients
Columbus Mammography Center Inc PastSince Mar 4, 2024 Accepting new patients

Locations (25 of 34)

2081 W Frye Rd
Ste 110
Chandler, AZ 85224
Phone (480) 499-9101

18699 N 67th Ave
Ste 110
Glendale, AZ 85308
Phone (623) 218-7700

11220 N Tatum Blvd
Ste 105
Phoenix, AZ 85028
Phone (602) 234-2601

1661 E Camelback Rd
Ste 140
Phoenix, AZ 85016
Phone (602) 234-2601

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

1746 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 716-3787

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

2141 K St NW
Ste 200
Washington, DC 20037
Phone (202) 223-9722

1545 San Remo Ave
Coral Gables, FL 33146
Phone (786) 371-4130

7550 W University Ave
Ste A
Gainesville, FL 32607
Phone (352) 331-3353

4553 Weston Rd
Weston, FL 33331

935 Camellia Blvd
Ste 100
Lafayette, LA 70508
Phone (337) 504-5000

107 Centre Sarcelle Blvd
Ste 701
Youngsville, LA 70592
Phone (832) 216-8220

100 Fulford Ave
Bel Air, MD 21014
Phone (410) 838-6767

20410 Observation Dr
Ste 106
Germantown, MD 20876
Phone (240) 397-6674

1820 Sweetbay Dr
Ste 102
Salisbury, MD 21804
Phone (410) 546-3390

974 Bethel Rd
Ste F
Columbus, OH 43214
Phone (614) 459-7880

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

15601 Dallas Pkwy
Ste 300
Addison, TX 75001
Phone (469) 398-4100

1015 E 32nd St
Ste 308
Austin, TX 78705
Phone (512) 427-2500

4310 James Casey St
Ste 2
Austin, TX 78745
Phone (512) 899-8217

900 E 30th St
Ste 111
Austin, TX 78705
Phone (512) 427-2500

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 25

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 25

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1851428866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 BANNOCK ST",
            "address_2": "STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044028",
            "telephone_number": "303-716-3787",
            "fax_number": "303-716-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 BANNOCK ST",
            "address_2": "STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044028",
            "telephone_number": "303-716-3787",
            "fax_number": "303-716-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10350 E Dakota Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802471314",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JEROME",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "40539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER-COMMERCIAL NUMBER",
            "identifier": "014867",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27325024",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10350 E Dakota Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802471314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.