Individual provider Active NPI

Carl-Philippe Rousseau

  • Adult Medicine Physician
  • Arvada, CO
National Provider Identifier
1881077030
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
DR.0075292 Issued in CO
Practice address
5017 W 64TH Ave
Arvada, CO 80003-6529
Phone
(303) 970-2334
Fax
(855) 576-4092
NPI assigned
Jul 7, 2015
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X DR.0075292 CO Primary
Adult Medicine Physician 207QA0505X 289925 NY

Addresses

Primary practice location

5017 W 64TH Ave
Arvada, CO 80003-6529

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Other practice location 1

4100 E Mississippi Ave Ste 110
Glendale, CO 80246-3051
Phone (303) 552-9522

Other practice location 2

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 659-8552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170929001067 NY Practitioner - Family Practice 0143595298 Reassigns benefits to 3 organizations
I20250609003093 CO Practitioner - Family Practice 0143595298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iora Health Colorado, P.C.Group PAC ID 8426323114, 42 clinicians

Practice addresses (Care Compare)

4100 E Mississippi Ave
Suite 110
Glendale, CO 80246-3051
Phone (303) 552-9522

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Colorado, P.C. CurrentSince Jul 14, 2025 Accepting new patients
Iora Senior Health, LLC CurrentSince Jul 14, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Jul 29, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jul 29, 2017 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Health Colorado, P.C. CurrentSince Jul 14, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 1, 2023 Accepting new patients
Iora Senior Health, LLC CurrentSince Jul 14, 2025 Accepting new patients
Archwell Health Professional Services of Colorado PC PastSince Jul 28, 2025 Accepting new patients

Locations

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

1080 S Sable Blvd
Unit 18
Aurora, CO 80012
Phone (303) 552-9577

4100 E Mississippi Ave
Ste 110
Glendale, CO 80246
Phone (303) 552-9522

111 E 210th St
Bronx, NY 10467

3011 Boston Rd
Bronx, NY 10469
Phone (718) 547-6111

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1881077030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800036529",
            "telephone_number": "303-970-2334",
            "fax_number": "855-576-4092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 E Mississippi Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CO",
            "postal_code": "802463051",
            "country_code": "US",
            "telephone_number": "303-552-9522",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-659-8552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSSEAU",
        "first_name": "CARL-PHILIPPE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CO",
            "license": "DR.0075292",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "289925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.