Individual provider Active NPI

Joseph Rosas

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1861916116
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005087 Issued in CO
Practice address
Place Bridge Academy
7125 Cherry Creek N
Denver, CO 80224
Phone
(720) 424-0528
NPI assigned
Jul 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0005087 CO Primary

Addresses

Primary practice location

Place Bridge Academy
7125 Cherry Creek N
Denver, CO 80224

Mailing address

1164 Roslyn St
Denver, CO 80220-3163
Phone (850) 607-4098

Other practice location 1

9094 E Mineral Cir Ste 100
Centennial, CO 80112-7201
Phone (303) 694-3200

Other practice location 2

777 Bannock St
Denver, CO 80204-4597
Phone (303) 436-6000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211019002300 CO Practitioner - Physician Assistant 9032507363 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Oct 1, 2021 Accepting new patients
Denver Health and Hospital Authority CurrentSince Oct 1, 2021 Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients
Greenwood Pediatrics PC Past Accepting new patients

Locations

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

777 Bannock St
Denver, CO 80204

Interoperability endpoints

  • Direct secure messaging: ksturosas99999@direct.dhha.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1861916116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 ROSLYN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203163",
            "telephone_number": "850-607-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLACE BRIDGE ACADEMY",
            "address_2": "7125 CHERRY CREEK N",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80224",
            "telephone_number": "720-424-0528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9094 E Mineral Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801127201",
            "country_code": "US",
            "telephone_number": "303-694-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Bannock St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044597",
            "country_code": "US",
            "telephone_number": "303-436-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSAS",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-28",
        "last_updated": "2021-11-09",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.