Individual provider Active NPI

Suzanne H Rosenberg, M.D.

  • Pediatric Rehabilitation Medicine Physician
  • Denver, CO
National Provider Identifier
1922085430
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
34727 Issued in CO
Practice address
1601 E 19TH Ave Ste 3650
Denver, CO 80218-1282
Phone
(303) 881-3739
Fax
(303) 500-0975
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X 34727 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave Ste 3650
Denver, CO 80218-1282

Mailing address

19799 E Lasalle Dr
Aurora, CO 80013-9428
Phone (303) 881-3739

Other identifiers 1

IdentifierTypeStateIssuer
12127825MedicaidCO

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
I20100525000138 CO Practitioner - Emergency MedicinePractitioner - Physical Medicine and Rehabilitation 5597894840 Practice locations: Denver, CO

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arete Neurosurgical PC Current Accepting new patients

Locations

1601 E 19th Ave
Ste 4600
Denver, CO 80218
Phone (303) 260-5092

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1922085430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19799 E LASALLE DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800139428",
            "telephone_number": "303-881-3739",
            "fax_number": "303-500-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 3650",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181282",
            "telephone_number": "303-881-3739",
            "fax_number": "303-500-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "SUZANNE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "CO",
            "license": "34727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12127825",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.